| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,000.00 | $2,884.03 | $2,884.03 | |
Kaiser Permanente
| Professional | $457.09 | $1,047.13 | $1,348.96 | |
United
| Facility | $3,019.95 | $3,019.95 | $3,019.95 |
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 | $1,000.00 | $2,884.03 | $2,884.03 | |
Kaiser Permanente
| Professional | $457.09 | $1,047.13 | $1,348.96 | |
United
| Facility | $3,019.95 | $3,019.95 | $3,019.95 |