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Arizona 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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,671.00 / $3,819.00 / $6,329.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$277.94 / $345.06 / $1,976.56
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,763.75 / $6,640.00 / $10,860.55
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$224.83 / $256.95 / $321.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$325.56 / $325.56 / $325.56
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$308.20 / $444.46 / $9,251.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$342.30 / $444.99 / $1,108.74
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,255.00 / $7,205.00 / $11,396.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$336.18 / $410.76 / $748.88