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Indiana 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
$1,003.92 / $12,015.13 / $27,394.37
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,008.00 / $14,812.00 / $33,821.32
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$979.46 / $1,224.33 / $1,451.07
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,705.12 / $4,705.12 / $5,577.46
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,431.00 / $12,330.00 / $17,416.00