go back

New Hampshire 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
$100.00 / $3,804.70 / $16,001.11
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,512.20 / $9,458.00 / $17,400.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,260.01 / $5,257.46 / $5,441.47
Cigna
Facility/Professional
Facility
Modifier
62
Low / Median / High Price
$783.15 / $783.15 / $783.15
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$125.30 / $125.30 / $125.30
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,399.00 / $12,399.00 / $12,399.00