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Ohio 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
$352.78 / $8,553.00 / $11,627.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$294.85 / $352.78 / $453.10
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21,571.00 / $21,571.00 / $21,571.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$325.56 / $325.56 / $325.56
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$419.90 / $419.90 / $419.90
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$325.56 / $325.56 / $325.56
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$296.00 / $390.27 / $547.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,070.00 / $8,440.00 / $13,382.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$306.39 / $463.17 / $771.06