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Minnesota 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
$1,202.26 / $1,202.26 / $7,079.46
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,762.47 / $14,125.38 / $32,359.37
BCBS
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$16,982.44 / $30,199.52 / $75,857.76
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,467.37 / $4,466.84 / $10,715.19
Cigna
Facility/Professional
Facility
Modifier
22
Low / Median / High Price
$2,630.27 / $2,630.27 / $2,630.27
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$218.78 / $218.78 / $218.78
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,548.13 / $5,011.87 / $8,511.38
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,348.96 / $2,570.40 / $11,220.18
Medica
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$6,760.83 / $6,760.83 / $6,760.83
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,570.88 / $9,332.54 / $13,182.57