| 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 | $296.14 | $1,458.36 | $2,041.70 | |
Providence
| Facility | $296.14 | $1,458.36 | $2,041.70 |
Open implantation of neurostimulator electrode array; peripheral nerve (excludes sacral nerve)
| 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 | $296.14 | $1,458.36 | $2,041.70 | |
Providence
| Facility | $296.14 | $1,458.36 | $2,041.70 |