go back

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
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$812.96 / $956.42 / $956.42
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$700.03 / $929.26 / $1,315.76
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$963.02 / $963.02 / $1,059.32
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$963.02 / $1,033.49 / $1,059.32
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$896.22 / $1,224.83 / $1,731.16