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Virginia 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
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,823.00 / $12,004.00 / $15,528.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$870.38 / $1,113.02 / $1,840.15
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,166.83 / $1,166.83 / $7,889.00
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$394.70 / $601.13 / $2,555.98
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$953.41 / $1,229.02 / $12,637.00
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$953.41 / $1,229.02 / $12,637.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$709.49 / $1,043.73 / $1,738.54