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Maryland 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
$1,366.46 / $6,563.97 / $9,879.09
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,335.00 / $1,335.00 / $3,314.62
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,172.55 / $1,532.38 / $1,974.82
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,003.00 / $1,003.00 / $2,156.00