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Minnesota 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
$1,047.13 / $7,585.78 / $14,791.08
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,025.60 / $13,803.84 / $32,359.37
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,019.95 / $3,801.89 / $9,120.11
Cigna
Facility/Professional
Facility
Modifier
22
Low / Median / High Price
$2,290.87 / $2,290.87 / $2,290.87
Cigna
Facility/Professional
Facility
Modifier
62
Low / Median / High Price
$1,174.90 / $1,174.90 / $1,174.90
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$190.55 / $190.55 / $190.55
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,019.95 / $4,265.80 / $7,244.36
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,148.15 / $2,754.23 / $12,022.64
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,570.88 / $9,332.54 / $13,182.57