| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Facility | $2,908.80 | $2,908.80 | $2,908.80 | |
United
| Facility | $4,200.00 | $6,878.02 | $14,634.00 |
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 |
|---|---|---|---|---|---|
BCBS
| Facility | $2,908.80 | $2,908.80 | $2,908.80 | |
United
| Facility | $4,200.00 | $6,878.02 | $14,634.00 |