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Florida 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
$356.44 / $4,594.00 / $11,624.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$277.94 / $356.44 / $421.11
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$323.00 / $3,499.48 / $4,166.05
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$325.56 / $325.56 / $325.56
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.42 / $377.70 / $478.05
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$337.58 / $431.81 / $658.70
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,462.00 / $12,949.00 / $20,609.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$292.82 / $427.35 / $714.47
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.02 / $302.02 / $302.02