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South 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
$3,019.95 / $10,964.78 / $21,877.62
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,951.21 / $7,413.10 / $18,620.87
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,344.23 / $14,791.08 / $15,488.17
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
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,819.70 / $1,819.70 / $2,570.40
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,071.52 / $1,513.56 / $2,754.23
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,677.35 / $18,197.01 / $25,703.96