| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,235.94 | $3,235.94 | $7,244.36 | |
Cigna
| Facility | $5,623.41 | $5,623.41 | $5,623.41 | |
United
| Facility | $2,754.23 | $2,754.23 | $2,754.23 |
Revision including replacement, when performed, of spinal neurostimulator electrode percutaneous array(s), including fluoroscopy, when performed
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,235.94 | $3,235.94 | $7,244.36 | |
Cigna
| Facility | $5,623.41 | $5,623.41 | $5,623.41 | |
United
| Facility | $2,754.23 | $2,754.23 | $2,754.23 |