| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $186.40 | $4,516.00 | $11,298.00 | |
Horizon BCBS
| Facility | $42,073.50 | $42,073.50 | $105,884.48 | |
United
| Facility | $7,963.00 | $15,079.00 | $36,541.00 |
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 | $186.40 | $4,516.00 | $11,298.00 | |
Horizon BCBS
| Facility | $42,073.50 | $42,073.50 | $105,884.48 | |
United
| Facility | $7,963.00 | $15,079.00 | $36,541.00 |