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Tennessee 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
$389.34 / $2,678.00 / $7,602.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$262.33 / $360.77 / $417.80
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,984.00 / $6,529.00 / $9,553.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$325.56 / $325.56 / $325.56
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$668.85 / $19,913.50 / $19,913.50
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,316.04 / $2,316.04 / $3,006.90
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,964.00 / $8,273.00 / $12,407.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$330.07 / $415.50 / $772.98