| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,513.56 | $1,548.82 | $3,981.07 | |
United
| Facility | $3,715.35 | $7,762.47 | $13,489.63 |
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 | $1,513.56 | $1,548.82 | $3,981.07 | |
United
| Facility | $3,715.35 | $7,762.47 | $13,489.63 |