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Arizona rates for HCPCS 63047

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; lumbar

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,089.30 / $4,786.30 / $8,317.64
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,230.27 / $4,365.16 / $6,025.60
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,047.13 / $1,548.82 / $10,232.93
Medica
Facility/Professional
Facility
Modifier
62
Low / Median / High Price
$1,698.24 / $1,698.24 / $11,748.98
Medica
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$275.42 / $275.42 / $1,905.46
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,754.40 / $8,128.31 / $11,220.18