| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $48.98 | $56.23 | $66.07 | |
Kaiser Permanente
| Professional | $42.66 | $63.10 | $75.86 | |
United
| Professional | $46.77 | $74.13 | $95.50 |
Electronic analysis with complex 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, 4 or more parameters
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $48.98 | $56.23 | $66.07 | |
Kaiser Permanente
| Professional | $42.66 | $63.10 | $75.86 | |
United
| Professional | $46.77 | $74.13 | $95.50 |