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Washington 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 $6,457 · 10th–90th $1,622–$28,8400%5%10%10th90th$6,457$1.0K$2.0K$5.0K$10.0K$20.0K$50.0K

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 / $12,022.64 / $28,183.83
Aetna
Facility/Professional
Facility
Modifier
50
Typical Low / Median / Typical High
$14,125.38 / $14,125.38 / $38,904.51
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13,803.84 / $19,054.61 / $38,904.51
Asuris Northwest Health
Facility/Professional
Facility
Modifier
50
Typical Low / Median / Typical High
$20,417.38 / $28,840.32 / $57,543.99
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,995.26 / $2,511.89 / $10,000.00
Kaiser Permanente
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,380.38 / $2,630.27 / $8,709.64
Kaiser Permanente
Facility/Professional
Facility
Modifier
50
Typical Low / Median / Typical High
$12,882.50 / $26,302.68 / $52,480.75
Pacific Source
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,041.74 / $2,511.89 / $2,630.27
Premera BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,737.80 / $1,778.28 / $2,187.76
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13,182.57 / $19,952.62 / $38,904.51
Regence BlueShield
Facility/Professional
Facility
Modifier
50
Typical Low / Median / Typical High
$19,498.45 / $29,512.09 / $57,543.99
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,677.35 / $20,892.96 / $41,686.94