go back

North Carolina 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
$3,879.00 / $9,561.00 / $16,235.01
Aetna
Facility/Professional
Facility
Modifier
22
Low / Median / High Price
$10,766.10 / $10,766.10 / $10,766.10
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$5,908.77 / $13,655.65 / $17,979.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$606.10 / $6,025.59 / $13,652.00
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$948.85 / $1,297.83 / $2,300.00
Medcost
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$1,747.08 / $2,562.00 / $3,764.87
Medcost
Facility/Professional
Facility
Modifier
80
Low / Median / High Price
$232.94 / $341.60 / $502.00
Medcost
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$163.06 / $239.12 / $350.25
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,015.00 / $15,870.00 / $22,780.00
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,803.54 / $19,913.50 / $30,000.00
Wellcare
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$202.65 / $1,134.79 / $1,887.52