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Missouri 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
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$832.48 / $1,034.04 / $1,725.46
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,478.39 / $2,056.59 / $5,674.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$924.23 / $1,406.07 / $2,090.64
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$924.23 / $1,390.61 / $2,090.64