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North Carolina 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
$1,665.18 / $8,704.65 / $18,321.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$606.10 / $6,025.59 / $13,652.00
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,075.35 / $1,494.75 / $2,727.73
Medcost
Facility/Professional
Facility
Modifier
80
Low / Median / High Price
$266.32 / $408.80 / $647.54
Medcost
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$186.43 / $286.16 / $453.28
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,015.00 / $15,545.00 / $22,780.00
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,422.45 / $19,913.50 / $25,000.00
Wellcare
Facility/Professional
Facility
Modifier
62
Low / Median / High Price
$1,522.64 / $7,092.44 / $11,796.97
Wellcare
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$243.62 / $1,134.79 / $1,887.52