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Wyoming 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
$350.14 / $350.14 / $356.78
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$300.04 / $382.88 / $406.73
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$325.56 / $325.56 / $357.98
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,934.00 / $6,934.00 / $26,502.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$527.23 / $741.65 / $1,483.30