go back

Pennsylvania rates for HCPCS 0274T

Percutaneous laminotomy/laminectomy (interlaminar approach) for decompression of neural elements, (with or without ligamentous resection, discectomy, facetectomy and/or foraminotomy), any method, under indirect image guidance (eg, fluoroscopic, CT), single or multiple levels, unilateral or bilateral, cervical or thoracic

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$848.50 / $2,747.00 / $8,247.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$572.17 / $848.50 / $6,534.18
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,046.38 / $1,046.38 / $1,046.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,094.20 / $4,094.20 / $4,094.20
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$744.00 / $1,023.27 / $1,578.24
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$848.50 / $4,761.00 / $8,427.00
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$572.17 / $897.13 / $7,197.00
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,046.38 / $1,046.38 / $1,046.38
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,094.20 / $4,094.20 / $4,094.20
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,215.80 / $1,215.80 / $1,338.72
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$601.04 / $1,240.11 / $1,338.72
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,468.00 / $4,563.00 / $9,631.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,050.04 / $1,521.28 / $2,283.79