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Alaska rates for HCPCS 0275T

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; lumbar

Insurance Carrier
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,285.56 / $1,512.42 / $2,117.39
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$869.47 / $869.47 / $869.47
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,891.98 / $2,854.25 / $4,304.25