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Maine 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
$239.18 / $354.97 / $390.51
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$325.56 / $325.56 / $325.56
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$450.95 / $521.75 / $800.39
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$347.34 / $354.97 / $392.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$371.63 / $540.49 / $672.21