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Idaho 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
$331.95 / $331.95 / $4,500.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$300.04 / $331.95 / $514.82
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,214.76 / $4,214.76 / $4,226.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$325.56 / $325.56 / $325.56
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$300.04 / $339.96 / $422.71
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$583.89 / $636.97 / $707.74
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $55.00 / $647.29
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,653.11 / $17,361.59 / $22,059.79
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$463.05 / $544.76 / $605.79
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,600.00 / $11,800.00 / $29,092.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$408.87 / $570.49 / $720.91