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Pennsylvania rates for HCPCS 63003

Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina, without facetectomy, foraminotomy or discectomy (eg, spinal stenosis), 1 or 2 vertebral segments; thoracic

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,265.86 / $4,761.00 / $9,676.00
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,639.91 / $11,851.00 / $26,582.19
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,412.84 / $1,412.84 / $1,412.84
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$140.11 / $140.11 / $140.11
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,298.00 / $5,342.00 / $10,527.00
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,412.84 / $1,412.84 / $1,412.84
Priority Health
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$140.11 / $140.11 / $140.11
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,211.40 / $1,211.40 / $1,447.80
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,468.00 / $4,563.00 / $7,000.00