| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Molina
| Professional | $58.40 | $58.40 | $58.40 |
Revision Or Removal Of Pulse Generator Or Electrodes, Including Imaging Guidance,When Performed,Including Addition
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Molina
| Professional | $58.40 | $58.40 | $58.40 |