| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,913.01 | $6,913.01 | $6,913.01 | |
Martin's Point
| Facility | $6,913.01 | $6,913.01 | $6,913.01 |
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 | $6,913.01 | $6,913.01 | $6,913.01 | |
Martin's Point
| Facility | $6,913.01 | $6,913.01 | $6,913.01 |