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Arizona 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
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,763.75 / $6,640.00 / $10,860.55
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,192.76 / $1,363.15 / $1,703.94
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,512.42 / $1,814.90 / $9,978.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$838.79 / $1,021.57 / $1,787.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$837.20 / $993.96 / $1,834.86