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Minnesota 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
$6,850.61 / $13,287.64 / $25,424.06
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$372.68 / $452.83 / $452.83
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,411.22 / $2,555.98 / $12,367.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,019.67 / $1,776.33 / $3,545.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,040.58 / $1,776.33 / $3,545.90