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Washington rates for HCPCS 0431T

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

Facilitymedian $50,119 · 10th–90th $30,200–$134,8960%10%10th90th$50,119Professionalmedian $33,884 · 10th–90th $513–$58,8840%5%10%10th90th$33,884$500.0$2.0K$10.0K$50.0K$200.0K

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
Kaiser Permanente
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$30,199.52 / $58,884.37 / $134,896.29
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$26,915.35 / $40,738.03 / $58,884.37
Pacific Source
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$33,884.42 / $40,738.03 / $50,118.72
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$363.08 / $5,754.40 / $17,378.01
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$467.74 / $549.54 / $794.33