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Nebraska 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
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,513.56 / $2,570.40 / $9,772.37
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,047.13 / $1,778.28 / $2,630.27
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,370.32 / $7,079.46 / $7,585.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,047.13 / $1,698.24 / $2,398.83