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Louisiana 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
$6,302.58 / $11,823.69 / $17,426.20
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$606.54 / $818.11 / $1,023.45
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$804.09 / $1,121.00 / $2,033.88