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Georgia rates for HCPCS 63030

Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or excision of herniated intervertebral disc; 1 interspace, lumbar

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,144.00 / $5,758.00 / $13,358.51
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$4,126.00 / $7,278.00 / $17,326.18
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,680.00 / $5,538.97 / $12,227.65
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$964.26 / $1,337.48 / $2,285.85
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,043.79 / $6,918.00 / $10,047.00
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$103.83 / $103.83 / $103.83
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,060.76 / $1,558.86 / $4,619.50
Kaiser Permanente
Facility/Professional
Professional
Modifier
22
Low / Median / High Price
$3,201.05 / $3,201.05 / $3,201.05
Kaiser Permanente
Facility/Professional
Professional
Modifier
80
Low / Median / High Price
$85.36 / $85.36 / $85.36
Kaiser Permanente
Facility/Professional
Professional
Modifier
AS
Low / Median / High Price
$42.68 / $42.68 / $42.68
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,725.00 / $9,576.00 / $18,613.00