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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
$6,606.93 / $12,022.64 / $20,892.96
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$6,606.93 / $6,606.93 / $6,606.93
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,606.93 / $12,022.64 / $20,892.96
Martin's Point
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$6,606.93 / $6,606.93 / $6,606.93