| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Facility | $5,888.44 | $5,888.44 | $5,888.44 | |
United
| Facility | $5,623.41 | $6,918.31 | $25,703.96 |
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 |
|---|---|---|---|---|---|
BCBS
| Facility | $5,888.44 | $5,888.44 | $5,888.44 | |
United
| Facility | $5,623.41 | $6,918.31 | $25,703.96 |