go back

Minnesota 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
$359.33 / $359.33 / $359.33
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$317.14 / $367.67 / $514.82
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,731.06 / $11,716.49 / $25,424.06
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$567.61 / $918.81 / $1,284.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$884.76 / $1,255.34 / $3,019.92
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$397.69 / $462.44 / $500.06
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$804.33 / $1,147.69 / $2,377.89
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$393.75 / $393.75 / $420.40
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$373.53 / $677.29 / $9,370.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$407.74 / $726.96 / $1,428.44
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,457.00 / $9,370.00 / $12,774.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$407.74 / $731.98 / $1,370.77