| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $36.31 | $48.98 | $95.50 | |
BCBS
| Professional | $56.23 | $69.18 | $85.11 | |
Cigna
| Professional | $52.48 | $81.28 | $109.65 | |
United
| Professional | $60.26 | $87.10 | $151.36 |
Electronic analysis of implanted neurostimulator pulse generator/transmitter (eg, contact group[s], interleaving, amplitude, pulse width, frequency [Hz], on/off cycling, burst, magnet mode, dose lockout, patient selectable parameters, responsive neurostimulation, detection algorithms, closed loop parameters, and passive parameters) by physician or other qualified health care professional; with simple spinal cord or peripheral nerve (eg, sacral nerve) neurostimulator pulse generator/transmitter programming by physician or other qualified health care professional
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $36.31 | $48.98 | $95.50 | |
BCBS
| Professional | $56.23 | $69.18 | $85.11 | |
Cigna
| Professional | $52.48 | $81.28 | $109.65 | |
United
| Professional | $60.26 | $87.10 | $151.36 |