| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $50.03 | $50.03 | $50.03 | |
Aetna
| Professional | $50.03 | $50.03 | $83.20 | |
United
| Professional | $64.37 | $71.54 | $203.62 |
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
| Facility | $50.03 | $50.03 | $50.03 | |
Aetna
| Professional | $50.03 | $50.03 | $83.20 | |
United
| Professional | $64.37 | $71.54 | $203.62 |