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Michigan rates for HCPCS 0680T

Insertion or replacement of pulse generator only, permanent implantable synchronized diaphragmatic stimulation system for augmentation of cardiac function, with connection to existing lead(s)

Facilitymedian $4,898 · 10th–90th $4,074$13,8040%20%10th90th$4,898Professionalmedian $19,953 · 10th–90th $12,589$19,9530%50%10th$19,953$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
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,073.80 / $4,897.79 / $4,897.79
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19,952.62 / $19,952.62 / $19,952.62
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12,589.25 / $19,952.62 / $19,952.62
Health Alliance Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,073.80 / $4,897.79 / $5,754.40
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,370.32 / $16,982.44 / $33,884.42