| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medcost
| Facility | $214.70 | $214.70 | $214.70 | |
Molina
| Professional | $30.00 | $30.00 | $30.00 |
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 | $214.70 | $214.70 | $214.70 | |
Molina
| Professional | $30.00 | $30.00 | $30.00 |