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Delaware 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
$6,907.00 / $6,907.00 / $6,907.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$246.46 / $381.55 / $381.55
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,851.90 / $3,851.90 / $3,851.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$325.56 / $325.56 / $325.56
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,783.00 / $2,783.00 / $2,783.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$314.11 / $466.22 / $863.81