| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $41.61 | $68.11 | $96.01 | |
Kaiser Permanente
| Professional | $38.32 | $56.21 | $76.65 | |
United
| Professional | $37.95 | $57.24 | $98.45 |
Electronic analysis with simple programming of implanted integrated neurostimulation system for bladder dysfunction (eg, electrode array and receiver), including contact group(s), amplitude, pulse width, frequency (Hz), on/off cycling, burst, dose lockout, patient-selectable parameters, responsive neurostimulation, detection algorithms, closed-loop parameters, and passive parameters, when performed by physician or other qualified health care professional, posterior tibial nerve, 1-3 parameters
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $41.61 | $68.11 | $96.01 | |
Kaiser Permanente
| Professional | $38.32 | $56.21 | $76.65 | |
United
| Professional | $37.95 | $57.24 | $98.45 |