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Indiana 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
$348.42 / $348.42 / $4,846.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$299.22 / $348.42 / $387.15
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,705.12 / $4,705.12 / $5,577.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$325.56 / $325.56 / $409.32
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,058.00 / $12,330.00 / $17,416.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$322.31 / $404.31 / $657.46