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Pennsylvania 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
$1,322.86 / $5,274.00 / $12,694.83
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,639.91 / $11,851.00 / $26,582.19
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,476.67 / $1,476.67 / $1,476.67
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$146.47 / $146.47 / $146.47
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,159.54 / $16,653.91 / $26,915.37
Highmark BCBS
Facility/Professional
Facility
Modifier
22
Low / Median / High Price
$37,472.66 / $37,472.66 / $37,472.66
Highmark BCBS
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$13,182.66 / $13,182.66 / $17,664.88
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,189.77 / $6,029.00 / $10,527.00
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,476.67 / $1,476.67 / $1,476.67
Priority Health
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$146.47 / $146.47 / $146.47
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,268.45 / $1,268.45 / $1,752.79
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,468.00 / $4,563.00 / $7,000.00