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Washington 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

Facilitymedian $4,677 · 10th–90th $501$26,3030%10%10th90th$4,677Professionalmedian $417 · 10th–90th $302$1,0230%20%10th90th$417$50.0$200.0$1.0K$5.0K$20.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$302.00 / $10,232.93 / $28,183.83
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$302.00 / $354.81 / $512.86
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13,803.84 / $19,054.61 / $38,904.51
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$512.86 / $676.08 / $1,000.00
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$707.95 / $870.96 / $10,000.00
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$331.13 / $331.13 / $331.13
Kaiser Permanente
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$524.81 / $933.25 / $19,952.62
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$512.86 / $851.14 / $7,079.46
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $32.36 / $33.11
Pacific Source
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$501.19 / $707.95 / $741.31
Premera BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$501.19 / $501.19 / $2,187.76
Premera BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$501.19 / $707.95 / $954.99
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13,182.57 / $19,952.62 / $38,904.51
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$512.86 / $660.69 / $933.25
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,265.80 / $23,442.29 / $43,651.58
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$389.05 / $575.44 / $954.99
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$389.05 / $416.87 / $741.31