| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $187.54 | $2,922.00 | $4,387.00 | |
Regence BlueShield
| Facility | $5,251.88 | $6,548.64 | $9,401.51 | |
United
| Facility | $1,202.00 | $6,097.00 | $8,267.00 |
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 | $187.54 | $2,922.00 | $4,387.00 | |
Regence BlueShield
| Facility | $5,251.88 | $6,548.64 | $9,401.51 | |
United
| Facility | $1,202.00 | $6,097.00 | $8,267.00 |