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Tennessee 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
$2,984.00 / $6,563.00 / $10,237.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$808.98 / $1,127.09 / $1,902.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$846.43 / $1,252.49 / $2,270.38