| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,464.00 | $6,782.00 | $13,413.92 | |
Moda Health
| Facility | $341.83 | $1,761.23 | $2,465.71 | |
Providence
| Facility | $341.83 | $1,761.23 | $2,465.71 |
Revision or removal of implanted spinal neurostimulator pulse generator or receiver, with detachable connection to electrode array
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,464.00 | $6,782.00 | $13,413.92 | |
Moda Health
| Facility | $341.83 | $1,761.23 | $2,465.71 | |
Providence
| Facility | $341.83 | $1,761.23 | $2,465.71 |