| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $681.37 | $2,910.00 | $4,387.00 | |
Regence BlueShield
| Facility | $10,197.37 | $12,967.40 | $18,897.21 | |
United
| Facility | $3,028.00 | $9,753.00 | $15,824.00 |
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 | $681.37 | $2,910.00 | $4,387.00 | |
Regence BlueShield
| Facility | $10,197.37 | $12,967.40 | $18,897.21 | |
United
| Facility | $3,028.00 | $9,753.00 | $15,824.00 |