| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $364.37 | $4,294.00 | $9,784.00 | |
Horizon BCBS
| Facility | $6,747.27 | $6,970.02 | $15,945.14 | |
United
| Facility | $5,378.00 | $8,305.00 | $14,121.00 |
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 | $364.37 | $4,294.00 | $9,784.00 | |
Horizon BCBS
| Facility | $6,747.27 | $6,970.02 | $15,945.14 | |
United
| Facility | $5,378.00 | $8,305.00 | $14,121.00 |