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Idaho rates for HCPCS 62287

Decompression, percutaneous, of nucleus pulposus of intervertebral disc, any method utilizing needle-based technique to remove disc material under fluoroscopic imaging or other form of indirect visualization, with discography and/or epidural injection(s) at the treated level(s), when performed, single or multiple levels, lumbar

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,415.00 / $4,500.00 / $8,439.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$581.69 / $778.97 / $1,414.97
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,110.38 / $1,110.38 / $1,113.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$648.28 / $874.94 / $1,026.45
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$546.05 / $1,037.11 / $1,697.96
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$968.17 / $1,056.19 / $1,338.95
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $846.39 / $1,064.82
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,480.58 / $4,907.22 / $6,923.77
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,024.84 / $1,205.70 / $1,338.95
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,500.00 / $9,360.00 / $17,870.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$622.07 / $872.38 / $1,173.20