go back

Kansas 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 (Added 01/28/15)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,131.00 / $7,655.00 / $13,151.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$310.27 / $375.25 / $437.55
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$574.35 / $574.35 / $574.35
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$624.00 / $624.00 / $624.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$325.56 / $325.56 / $325.56
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$333.65 / $439.04 / $6,969.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$401.50 / $517.70 / $2,316.04
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,269.00 / $6,407.00 / $12,989.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$388.32 / $506.19 / $726.00