| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $619.28 | $619.28 | $1,092.13 | |
Medica
| Professional | $1,864.98 | $1,864.98 | $1,864.98 |
Insertion of chest wall respiratory sensor electrode or electrode array, including connection to pulse generator (List separately in addition to code for primary procedure)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $619.28 | $619.28 | $1,092.13 | |
Medica
| Professional | $1,864.98 | $1,864.98 | $1,864.98 |