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Pennsylvania rates for HCPCS 63046

Laminectomy, facetectomy and foraminotomy (unilateral or bilateral with decompression of spinal cord, cauda equina and/or nerve root[s], [eg, spinal or lateral recess stenosis]), single vertebral segment; thoracic

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,257.92 / $4,048.00 / $8,451.00
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
$1,403.28 / $1,403.28 / $1,403.28
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$139.43 / $139.43 / $139.43
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,131.70 / $10,690.91 / $13,182.66
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,127.40 / $4,761.00 / $9,617.00
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,403.28 / $1,403.28 / $1,403.28
Priority Health
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$139.43 / $139.43 / $139.43
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,204.78 / $1,204.78 / $1,548.44
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,468.00 / $4,563.00 / $7,000.00