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Maine 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
$3,458.76 / $3,458.76 / $4,402.07
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$180.74 / $212.60 / $314.20
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$235.54 / $277.11 / $414.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$222.63 / $313.67 / $439.75
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$260.92 / $301.88 / $463.11
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.94 / $4,402.07 / $6,913.01
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$180.74 / $242.56 / $327.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$198.65 / $295.08 / $405.99