| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Molina
| Professional | $58.40 | $58.40 | $58.40 |
Percutaneous Or Open Implantation Of Neurostimulator Electrode Array(S), Subcutaneous (Peripheral Subcutaneous
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Molina
| Professional | $58.40 | $58.40 | $58.40 |