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New Jersey rates for HCPCS 0431T

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

Facilitymedian $14,791 · 10th–90th $7,943–$27,5420%10%10th90th$14,791Professionalmedian $407 · 10th–90th $295–$8710%20%10th90th$407$500.0$1.0K$2.0K$5.0K$10.0K$20.0K

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
Horizon BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$295.12 / $407.38 / $870.96
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7,943.28 / $14,791.08 / $27,542.29
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$309.03 / $436.52 / $776.25