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North Carolina 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
$367.54 / $367.54 / $7,968.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$300.04 / $367.54 / $415.49
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,753.89 / $4,753.89 / $4,823.27
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$611.16 / $902.86 / $1,179.98
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,025.59 / $6,025.59 / $6,025.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$325.56 / $325.56 / $325.56
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$367.54 / $390.34 / $512.54
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$390.34 / $390.34 / $468.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$463.60 / $463.60 / $463.60
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,015.00 / $15,545.00 / $22,780.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$330.07 / $440.29 / $828.67
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$668.85 / $17,381.18 / $19,913.50
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,316.04 / $3,006.90 / $3,006.90