| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,290.00 | $2,290.00 | $4,338.00 | |
Medica
| Facility | $821.00 | $821.00 | $821.00 | |
United
| Facility | $821.00 | $821.00 | $821.00 |
Laparoscopic insertion of new or replacement of diaphragmatic lead(s), permanent implantable synchronized diaphragmatic stimulation system for augmentation of cardiac function, including connection to an existing pulse generator; each additional lead (List separately in addition to code for primary procedure)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,290.00 | $2,290.00 | $4,338.00 | |
Medica
| Facility | $821.00 | $821.00 | $821.00 | |
United
| Facility | $821.00 | $821.00 | $821.00 |