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New York 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 $7,413 · 10th–90th $1,820–$30,9030%10%10th90th$7,413$1.0$10.0$100.0$1.0K$10.0K

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
$1,698.24 / $6,918.31 / $30,902.95
Aetna
Facility/Professional
Facility
Modifier
50
Typical Low / Median / Typical High
$10,715.19 / $10,715.19 / $10,715.19
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,897.79 / $11,481.54 / $30,902.95
CDPHP
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,819.70 / $3,467.37 / $16,595.87
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$34.67 / $2,187.76 / $50,118.72
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
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,479.11 / $2,884.03 / $5,011.87
Excellus BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,202.26 / $1,202.26 / $1,202.26
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,162.28 / $12,022.64 / $14,125.38
MVP Health Care
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,348.96 / $50,118.72 / $75,857.76
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,454.71 / $6,309.57 / $16,595.87
Univera
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,047.13 / $2,187.76 / $5,754.40