| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $148.69 | $3,297.00 | $9,784.00 | |
Horizon BCBS
| Facility | $8,360.91 | $9,506.11 | $14,839.13 | |
United
| Facility | $3,321.00 | $6,972.00 | $11,243.00 |
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 | $148.69 | $3,297.00 | $9,784.00 | |
Horizon BCBS
| Facility | $8,360.91 | $9,506.11 | $14,839.13 | |
United
| Facility | $3,321.00 | $6,972.00 | $11,243.00 |