go back

Iowa 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
$4,277.00 / $6,066.00 / $11,100.08
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$343.46 / $430.86 / $490.67
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$393.75 / $492.19 / $853.04
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$301.20 / $333.90 / $601.54
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$414.98 / $758.37 / $14,242.22
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$421.49 / $649.01 / $1,479.29
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$469.08 / $844.79 / $6,616.19
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$469.08 / $604.78 / $982.41
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,220.00 / $9,259.00 / $14,242.22
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$382.73 / $586.41 / $996.91
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$404.80 / $512.40 / $602.79