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California 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
$390.51 / $9,029.00 / $20,135.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$250.80 / $376.47 / $1,976.56
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,108.00 / $7,270.00 / $13,998.00
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.90 / $100.00 / $8,028.10
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$300.02 / $428.61 / $955.03
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,277.00 / $6,894.76 / $12,348.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$325.56 / $325.56 / $325.56
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$402.06 / $442.27 / $4,922.37
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$337.69 / $466.49 / $789.45
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$668.85 / $19,913.50 / $19,913.50
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,316.04 / $2,316.04 / $3,006.90
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $32.34
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$366.51 / $450.25 / $643.29
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$325.56 / $325.56 / $921.58
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,226.43 / $1,226.43 / $1,226.43
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,212.00 / $13,651.00 / $29,312.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$296.66 / $408.10 / $822.87