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Nationwide rates for HCPCS 63042

Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or excision of herniated intervertebral disc, reexploration, single interspace; lumbar

Facilitymedian $7,079 · 10th–90th $1,778–$18,6210%10%10th90th$7,079Professionalmedian $1,950 · 10th–90th $1,175–$5,4950%10%10th90th$1,950$1.0$10.0$100.0$1.0K$10.0K$100.0K$1.0M

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,659.59 / $6,165.95 / $16,218.10
Aetna
Facility/Professional
Facility
Modifier
50
Typical Low / Median / Typical High
$3,090.30 / $10,232.93 / $22,387.21
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,365.16 / $11,748.98 / $24,547.09
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,187.76 / $4,466.84 / $15,488.17
Cigna
Facility/Professional
Facility
Modifier
22
Typical Low / Median / Typical High
$2,630.27 / $2,630.27 / $2,630.27
Cigna
Facility/Professional
Facility
Modifier
AS
Typical Low / Median / Typical High
$218.78 / $218.78 / $218.78
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,162.28 / $8,317.64 / $18,620.87

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