| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $126.72 | $3,167.27 | $3,167.27 | |
Medica
| Facility | $126.72 | $384.28 | $574.63 | |
United
| Facility | $8,667.00 | $8,667.00 | $8,667.00 |
Revision or removal of peripheral, sacral, or gastric neurostimulator pulse generator or receiver, with detachable connection to electrode array
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $126.72 | $3,167.27 | $3,167.27 | |
Medica
| Facility | $126.72 | $384.28 | $574.63 | |
United
| Facility | $8,667.00 | $8,667.00 | $8,667.00 |