| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $449.84 | $860.53 | $2,000.00 | |
Medica
| Facility | $449.84 | $860.53 | $1,527.71 |
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 | $449.84 | $860.53 | $2,000.00 | |
Medica
| Facility | $449.84 | $860.53 | $1,527.71 |