| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $506.54 | $3,374.00 | $9,784.00 | |
Horizon BCBS
| Facility | $15,955.73 | $15,955.73 | $30,429.16 | |
United
| Facility | $5,682.00 | $10,536.00 | $23,291.00 |
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 | $506.54 | $3,374.00 | $9,784.00 | |
Horizon BCBS
| Facility | $15,955.73 | $15,955.73 | $30,429.16 | |
United
| Facility | $5,682.00 | $10,536.00 | $23,291.00 |