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Kentucky rates for HCPCS 0681T

Relocation of pulse generator only, permanent implantable synchronized diaphragmatic stimulation system for augmentation of cardiac function, with connection to existing dual leads

Facilitymedian $5,495 · 10th–90th $794–$8,5110%10%20%10th90th$5,495Professionalmedian $447 · 10th–90th $380–$5250%50%10th90th$447$50.0$200.0$1.0K$5.0K$20.0K$100.0K

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
$562.34 / $2,290.87 / $8,511.38
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,548.82 / $2,818.38 / $8,511.38
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,888.44 / $7,244.36 / $7,244.36
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$380.19 / $446.68 / $501.19
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12,302.69 / $56,234.13 / $83,176.38
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$74,131.02 / $74,131.02 / $104,712.85
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$44.67 / $44.67 / $44.67
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,000.00 / $4,677.35 / $8,511.38