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Iowa 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 $5,370 · 10th–90th $1,778–$15,8490%10%10th90th$5,370Professionalmedian $2,399 · 10th–90th $1,202–$5,1290%10%10th90th$2,399$200.0$500.0$1.0K$2.0K$5.0K$10.0K$20.0K

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
$1,778.28 / $5,370.32 / $9,549.93
Aetna
Facility/Professional
Facility
Modifier
50
Typical Low / Median / Typical High
$17,378.01 / $17,378.01 / $17,378.01
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,202.26 / $1,862.09 / $5,495.41
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,862.09 / $3,467.37 / $17,782.79
Medica
Facility/Professional
Facility
Modifier
AS
Typical Low / Median / Typical High
$1,905.46 / $1,905.46 / $1,905.46
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,630.27 / $3,090.30 / $3,467.37
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8,511.38 / $12,882.50 / $19,054.61