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New York 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
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,665.24 / $1,905.15 / $1,947.48
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,749.00 / $9,877.00 / $16,490.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,113.02 / $1,352.37 / $2,366.03
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,511.50 / $5,511.50 / $16,534.50
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$319.00 / $932.48 / $19,048.00
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$700.03 / $929.26 / $1,324.58
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,722.77 / $12,722.77 / $12,722.77
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$555.00 / $597.00 / $74,999.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$804.09 / $1,191.04 / $2,743.37