| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $160.78 | $5,554.56 | $5,554.56 | |
Medica
| Facility | $160.78 | $388.53 | $704.41 |
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 | $160.78 | $5,554.56 | $5,554.56 | |
Medica
| Facility | $160.78 | $388.53 | $704.41 |