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New Jersey 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
$384.85 / $5,982.00 / $11,298.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$250.80 / $367.67 / $430.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$325.56 / $325.56 / $325.56
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$419.51 / $506.11 / $555.61
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,015.87 / $15,917.17 / $37,661.98
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$295.86 / $348.07 / $356.75
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,682.00 / $10,536.00 / $23,291.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$259.36 / $409.49 / $780.94