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North Carolina rates for HCPCS 0431T

Removal and replacement of neurostimulator system for treatment of central sleep apnea, pulse generator only

Facilitymedian $33,884 · 10th–90th $13,183–$141,2540%20%10th90th$33,884Professionalmedian $617 · 10th–90th $363–$2,2390%10%10th90th$617$500.0$2.0K$10.0K$50.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13,182.57 / $30,199.52 / $43,651.58
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$354.81 / $537.03 / $776.25
Wellcare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$141,253.75 / $141,253.75 / $141,253.75
Wellcare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,238.72 / $2,238.72 / $2,238.72