| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,140.00 | $3,140.00 | $6,907.00 | |
Cigna
| Facility | $5,660.66 | $5,660.66 | $5,660.66 | |
United
| Facility | $2,783.00 | $2,783.00 | $2,783.00 |
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 | $3,140.00 | $3,140.00 | $6,907.00 | |
Cigna
| Facility | $5,660.66 | $5,660.66 | $5,660.66 | |
United
| Facility | $2,783.00 | $2,783.00 | $2,783.00 |