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Hawaii rates for HCPCS 63048

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; each additional vertebral segment, cervical, thoracic, or lumbar (List separately in addition to code for primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,570.40 / $6,025.60 / $6,025.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.55 / $257.04 / $2,290.87
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.98 / $234.42 / $275.42
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$281.84 / $316.23 / $363.08
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.21 / $213.80 / $263.03
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,071.52 / $1,071.52 / $1,071.52
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.96 / $245.47 / $323.59
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.87 / $10,715.19 / $14,791.08