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Wisconsin 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
$1,148.15 / $11,220.18 / $21,379.62
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,481.54 / $15,488.17 / $26,302.68
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,235.94 / $3,801.89 / $6,309.57
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,230.27 / $2,570.40 / $6,918.31
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,258.93 / $2,691.53 / $15,135.61
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,905.46 / $2,951.21 / $4,466.84
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,244.36 / $13,489.63 / $19,952.62
Quartz
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$1,348.96 / $1,348.96 / $1,995.26
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,912.51 / $13,803.84 / $17,782.79