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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

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