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New Hampshire 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
$1,209.83 / $6,854.47 / $16,432.20
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,512.20 / $9,458.00 / $17,400.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,043.79 / $5,257.46 / $5,441.47
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$103.83 / $103.83 / $103.83
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,399.00 / $12,399.00 / $12,399.00