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South Carolina 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
$380.19 / $7,943.28 / $16,595.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.42 / $363.08 / $416.87
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,365.16 / $9,332.54 / $17,782.79
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.74 / $371.54 / $489.78
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$562.34 / $891.25 / $5,754.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.59 / $323.59 / $323.59
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$323.59 / $416.87 / $676.08
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $33.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,677.35 / $20,417.38 / $25,703.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$309.03 / $389.05 / $602.56