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North Dakota 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
$363.08 / $380.19 / $8,511.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.00 / $363.08 / $489.78
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$630.96 / $794.33 / $933.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.74 / $398.11 / $489.78
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$380.19 / $616.60 / $1,122.02
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$389.05 / $660.69 / $891.25
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,819.70 / $2,041.74 / $14,125.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$389.05 / $660.69 / $891.25