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Massachusetts rates for HCPCS 63043

Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or excision of herniated intervertebral disc, reexploration, single interspace; each additional cervical interspace (List separately in addition to code for primary procedure)

Facilitymedian $2,239 · 10th–90th $631–$5,2480%5%10th90th$2,239Professionalmedian $631 · 10th–90th $427–$9770%10%10th90th$631$100.0$500.0$2.0K$10.0K$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
$1,000.00 / $2,238.72 / $3,801.89
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$537.03 / $630.96 / $851.14
AllWays Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$891.25 / $4,265.80 / $6,606.93
AllWays Health Partners
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$338.84 / $588.84 / $4,365.16
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,995.26 / $1,995.26 / $1,995.26
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$537.03 / $912.01 / $1,584.89
Fallon Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$398.11 / $575.44 / $3,311.31
Fallon Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$467.74 / $549.54 / $776.25
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,398.83 / $5,248.07 / $14,454.40
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$363.08 / $645.65 / $954.99
Mass General Brigham
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$891.25 / $4,265.80 / $6,606.93
Mass General Brigham
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$338.84 / $588.84 / $4,365.16
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,862.09 / $4,786.30 / $13,182.57
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$295.12 / $537.03 / $1,096.48