go back

Idaho 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
$1,512.42 / $1,512.42 / $1,935.90
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $2,000.00 / $3,900.00
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,653.11 / $17,361.59 / $22,059.79
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,301.13 / $4,301.13 / $5,161.35
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$996.06 / $1,389.25 / $1,922.11