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Utah 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
$3,162.28 / $4,570.88 / $7,943.28
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$851.14 / $977.24 / $7,943.28
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $44.67 / $60.26
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,471.29 / $12,302.69 / $28,183.83
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$954.99 / $1,174.90 / $1,445.44
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.20 / $1,071.52 / $1,071.52
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,096.48 / $1,148.15 / $1,348.96
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,019.95 / $5,128.61 / $15,848.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$812.83 / $1,047.13 / $1,621.81