| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,579.25 | $3,490.74 | $5,184.76 | |
Martin's Point
| Facility | $1,579.25 | $3,565.64 | $10,730.40 |
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 | $1,579.25 | $3,490.74 | $5,184.76 | |
Martin's Point
| Facility | $1,579.25 | $3,565.64 | $10,730.40 |