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Rhode Island 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
$3,706.14 / $3,706.14 / $3,955.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$337.21 / $380.00 / $499.59
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,485.39 / $12,982.03 / $15,796.22
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$273.01 / $377.87 / $576.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$325.56 / $325.56 / $325.56
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,713.00 / $7,457.00 / $12,945.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$339.74 / $461.16 / $639.50