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Nebraska 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
$343.46 / $8,477.27 / $20,928.72
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$343.46 / $343.46 / $1,976.56
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,619.76 / $8,706.79 / $16,841.75
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$321.81 / $338.75 / $338.75
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,266.26 / $5,266.26 / $5,266.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$393.75 / $587.17 / $853.04
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$343.46 / $618.23 / $9,496.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$556.54 / $727.52 / $1,069.33
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$463.66 / $674.22 / $6,616.19
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$469.08 / $609.79 / $924.89
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,777.00 / $8,220.00 / $9,696.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$582.02 / $727.52 / $892.30