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Oklahoma 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
$9,444.76 / $15,004.39 / $23,706.76
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$606.12 / $606.12 / $606.12
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,285.56 / $1,588.04 / $13,541.98
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$785.17 / $995.80 / $1,429.38
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,175.30 / $5,175.30 / $5,625.32
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$785.17 / $995.80 / $1,425.61