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Pennsylvania 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
Geisinger
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,047.13 / $1,047.13 / $1,380.38
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$954.99 / $1,071.52 / $1,071.52
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.44 / $1,023.29 / $1,071.52
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,220.18 / $11,220.18 / $11,220.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$758.58 / $1,148.15 / $1,659.59