| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $289.31 | $289.31 | $8,500.00 | |
Medica
| Facility | $289.31 | $490.94 | $516.61 |
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 | $289.31 | $289.31 | $8,500.00 | |
Medica
| Facility | $289.31 | $490.94 | $516.61 |