| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,741.00 | $10,480.00 | $13,413.92 | |
Moda Health
| Facility | $620.01 | $3,236.00 | $4,530.39 | |
Providence
| Facility | $620.01 | $3,236.00 | $4,530.39 |
Open implantation of neurostimulator electrode array; sacral nerve (transforaminal placement)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,741.00 | $10,480.00 | $13,413.92 | |
Moda Health
| Facility | $620.01 | $3,236.00 | $4,530.39 | |
Providence
| Facility | $620.01 | $3,236.00 | $4,530.39 |