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Vermont 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
Professional
Modifier
Low / Median / High Price
$294.85 / $465.98 / $465.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$325.56 / $325.56 / $325.56
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$325.56 / $325.56 / $549.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489.85 / $569.03 / $1,549.61