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Alabama rates for HCPCS G0276

Blinded Procedure For Lumbar Stenosis Percutaneous Image-Guided Lumbar Decompression (Pild) Or Placebo-Control Performed In An Approved Coverage With Evidence Development (Ced) Clinical Trial (Added 01/28/15)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$486.91 / $1,268.00 / $2,250.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$277.94 / $345.06 / $486.91
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,195.78 / $7,518.88 / $10,115.29
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$304.16 / $435.60 / $534.16
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$325.56 / $325.56 / $325.56
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,404.00 / $4,852.00 / $9,624.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$283.47 / $361.14 / $553.39