go back

Missouri 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
$1,760.00 / $7,054.73 / $13,396.00
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$4,384.00 / $9,641.81 / $65,235.12
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,232.00 / $7,216.00 / $14,488.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,710.00 / $17,537.00 / $22,145.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$848.72 / $1,509.36 / $19,067.25
Medica
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$227.67 / $227.67 / $1,887.52
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,426.00 / $7,576.00 / $12,989.00