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Maine 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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,603.83 / $7,470.03 / $12,097.76
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$6,603.82 / $6,603.82 / $6,603.82
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,603.83 / $11,122.65 / $20,733.80
Martin's Point
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$6,603.82 / $6,603.82 / $6,603.82