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North Carolina 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
$3,374.50 / $3,374.50 / $4,821.72
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.00 / $1,119.93 / $1,637.69
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,512.42 / $1,512.42 / $1,663.66
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,205.30 / $4,722.06 / $4,723.43
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$804.09 / $1,262.88 / $2,566.83