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Missouri 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
$2,507.00 / $6,544.50 / $17,226.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,232.00 / $7,216.00 / $14,488.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,710.00 / $17,537.00 / $22,145.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,028.76 / $1,725.48 / $19,067.25
Medica
Facility/Professional
Facility
Modifier
62
Low / Median / High Price
$1,710.70 / $1,710.70 / $11,796.97
Medica
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$273.70 / $273.70 / $1,887.52
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,426.00 / $7,576.00 / $12,989.00