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Massachusetts 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
$367.67 / $2,747.00 / $5,454.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$337.21 / $384.85 / $490.67
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,697.00 / $5,904.00 / $15,421.00
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$408.31 / $623.71 / $2,316.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$325.56 / $325.56 / $325.56
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$358.91 / $570.57 / $8,090.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$411.85 / $494.49 / $669.47
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$448.10 / $884.55 / $1,171.29
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,697.00 / $5,904.00 / $15,421.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$407.74 / $623.71 / $2,316.04
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,386.00 / $5,904.00 / $13,017.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$380.06 / $538.50 / $1,041.86