| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,513.56 | $3,890.45 | $3,890.45 | |
Kaiser Permanente
| Professional | $295.12 | $478.63 | $588.84 | |
United
| Facility | $4,265.80 | $4,265.80 | $4,265.80 |
Insertion or replacement of peripheral, sacral, or gastric neurostimulator pulse generator or receiver, requiring pocket creation and connection between electrode array and pulse generator or receiver
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,513.56 | $3,890.45 | $3,890.45 | |
Kaiser Permanente
| Professional | $295.12 | $478.63 | $588.84 | |
United
| Facility | $4,265.80 | $4,265.80 | $4,265.80 |