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Connecticut 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
$490.67 / $6,343.00 / $10,492.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$250.80 / $367.67 / $490.67
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$637.87 / $637.87 / $9,619.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$325.56 / $325.56 / $325.56
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$307.95 / $307.95 / $709.91
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,943.00 / $10,336.00 / $17,069.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$369.07 / $573.91 / $1,013.39