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Maine 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
$4,586.04 / $8,646.91 / $15,214.16
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,480.95 / $9,337.54 / $19,825.43