| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $436.52 | $851.14 | $8,511.38 | |
Medica
| Facility | $446.68 | $851.14 | $1,659.59 | |
United
| Facility | $1,819.70 | $2,041.74 | $12,302.69 |
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 | $436.52 | $851.14 | $8,511.38 | |
Medica
| Facility | $446.68 | $851.14 | $1,659.59 | |
United
| Facility | $1,819.70 | $2,041.74 | $12,302.69 |