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Pennsylvania 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 $3,981 · 10th–90th $1,096–$8,3180%5%10%10th90th$3,981Professionalmedian $1,585 · 10th–90th $955–$6,1660%10%20%10th90th$1,585$500.0$1.0K$2.0K$5.0K$10.0K

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
$1,096.48 / $3,981.07 / $8,317.64
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$954.99 / $1,584.89 / $6,165.95
Martin's Point
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$912.01 / $2,630.27 / $8,317.64
Martin's Point
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$707.95 / $1,584.89 / $6,165.95
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,187.76 / $4,570.88 / $11,220.18