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Maryland rates for HCPCS 63047

Lam Facetectomy & Foramotomy 1 Vrt Sgm 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