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Indiana 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
$1,373.46 / $17,067.00 / $29,521.32
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$16,604.21 / $16,604.21 / $20,061.91
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,008.00 / $14,812.00 / $33,821.32
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$812.70 / $1,056.51 / $1,645.73
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,705.12 / $4,705.12 / $5,577.46
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,431.00 / $12,330.00 / $17,416.00