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Virginia 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
$417.80 / $5,048.00 / $10,767.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$250.80 / $391.49 / $417.93
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.00 / $6,433.00 / $8,031.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$419.90 / $419.90 / $640.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$325.56 / $325.56 / $325.56
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.90 / $444.03 / $513.41
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$303.85 / $417.80 / $665.74
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$503.00 / $639.35 / $857.40
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$378.55 / $498.14 / $1,762.37
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$378.55 / $498.14 / $1,762.37
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,408.00 / $13,296.00 / $26,537.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$292.45 / $462.46 / $750.33