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Maine 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
Professional
Modifier
Low / Median / High Price
$449.80 / $598.22 / $685.87
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$586.77 / $751.39 / $1,188.77
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$632.80 / $886.90 / $1,249.98
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$747.73 / $865.12 / $1,327.15
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$449.80 / $685.87 / $802.63
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$561.71 / $776.43 / $1,212.59