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Washington, DC 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
$391.49 / $1,614.00 / $7,727.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$391.49 / $391.49 / $391.49
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$284.00 / $4,811.00 / $8,500.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$325.56 / $325.56 / $325.56
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$370.43 / $816.45 / $816.45
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,062.00 / $5,185.00 / $19,046.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$344.62 / $920.19 / $1,033.92