| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $988.00 | $2,747.00 | $2,898.00 | |
Kaiser Permanente
| Professional | $490.67 | $984.97 | $1,161.53 | |
United
| Facility | $3,028.00 | $3,028.00 | $3,028.00 |
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 | $988.00 | $2,747.00 | $2,898.00 | |
Kaiser Permanente
| Professional | $490.67 | $984.97 | $1,161.53 | |
United
| Facility | $3,028.00 | $3,028.00 | $3,028.00 |