| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medcost
| Facility | $213.80 | $213.80 | $239.88 | |
Molina
| Professional | $30.20 | $30.20 | $30.20 |
Percutaneous Or Open Implantation Of Neurostimulator Electrode Array(S),Subcutaneous(Peripheral Subcutaneous
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medcost
| Facility | $213.80 | $213.80 | $239.88 | |
Molina
| Professional | $30.20 | $30.20 | $30.20 |