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Virginia 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
$2,607.44 / $8,920.00 / $20,571.00
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$2,430.31 / $20,163.00 / $20,163.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,823.00 / $12,004.00 / $15,528.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,043.79 / $1,043.79 / $1,700.00
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
$872.54 / $1,129.17 / $1,334.48
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$952.73 / $1,283.19 / $2,007.36
Medcost
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$1,747.08 / $2,562.00 / $4,085.32
Medcost
Facility/Professional
Facility
Modifier
80
Low / Median / High Price
$232.94 / $341.60 / $544.71
Medcost
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$163.06 / $239.12 / $381.30
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$906.65 / $1,217.96 / $4,225.52
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,408.00 / $13,296.00 / $26,537.00