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Virginia rates for HCPCS 0431T

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

Facilitymedian $33,113 · 10th–90th $13,183–$51,2860%10%20%10th90th$33,113Professionalmedian $513 · 10th–90th $347–$7760%10%10th90th$513$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
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12,882.50 / $22,387.21 / $38,018.94
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$18,197.01 / $41,686.94 / $60,255.96
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$346.74 / $512.86 / $776.25