| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,872.00 | $8,303.41 | $13,413.92 | |
Moda Health
| Facility | $282.38 | $1,382.59 | $1,935.63 | |
Providence
| Facility | $282.38 | $1,382.59 | $1,935.63 |
Removal of subcutaneous reservoir or pump, previously implanted for intrathecal or epidural infusion
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,872.00 | $8,303.41 | $13,413.92 | |
Moda Health
| Facility | $282.38 | $1,382.59 | $1,935.63 | |
Providence
| Facility | $282.38 | $1,382.59 | $1,935.63 |