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Maryland 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
Professional
Modifier
Low / Median / High Price
$220.24 / $381.55 / $417.80
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,701.00 / $3,701.00 / $3,701.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$507.00 / $641.21 / $3,314.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$325.56 / $325.56 / $325.56
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$370.43 / $481.88 / $734.54
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,003.00 / $1,003.00 / $2,156.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$291.77 / $424.61 / $920.19
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$389.93 / $446.97 / $536.37