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Pennsylvania rates for HCPCS 63017

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,297.41 / $3,964.00 / $9,211.00
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
$1,446.52 / $1,446.52 / $1,446.52
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$143.87 / $143.87 / $143.87
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,158.84 / $4,761.00 / $9,211.00
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,446.52 / $1,446.52 / $1,446.52
Priority Health
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$143.87 / $143.87 / $143.87
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,241.84 / $1,241.84 / $1,613.59
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,468.00 / $4,563.00 / $7,000.00