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Ohio rates for HCPCS 0431T

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

Facilitymedian $9,120 · 10th–90th $3,162–$60,2560%10%20%10th90th$9,120Professionalmedian $437 · 10th–90th $251–$6170%10%20%10th90th$437$500.0$1.0K$2.0K$5.0K$10.0K$20.0K$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
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,162.28 / $8,511.38 / $60,255.96
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$41,686.94 / $45,708.82 / $67,608.30
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$75,857.76 / $75,857.76 / $75,857.76
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7,943.28 / $15,848.93 / $30,199.52
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$251.19 / $436.52 / $616.60