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Washington 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 $13,183 · 10th–90th $4,677–$28,1840%10%10th90th$13,183Professionalmedian $1,950 · 10th–90th $813–$9,1200%20%10th90th$1,950$100.0$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. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,677.35 / $12,882.50 / $23,988.33
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$812.83 / $1,949.84 / $9,120.11
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$50.12 / $50.12 / $50.12
Pacific Source
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$17,378.01 / $20,892.96 / $29,512.09
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19,952.62 / $60,255.96 / $114,815.36
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$870.96 / $870.96 / $870.96