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Missouri 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
$1,760.00 / $4,610.00 / $13,151.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$178.65 / $276.77 / $1,513.26
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$170.22 / $218.51 / $274.12
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,232.00 / $6,557.00 / $13,167.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$220.24 / $308.60 / $476.70
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,710.00 / $17,537.00 / $22,145.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$222.88 / $294.97 / $482.02
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$190.57 / $319.45 / $5,897.00
Medica
Facility/Professional
Facility
Modifier
62
Low / Median / High Price
$314.61 / $314.61 / $598.89
Medica
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$50.34 / $50.34 / $95.82
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$221.23 / $340.07 / $3,668.75
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$245.00 / $1,264.00 / $9,527.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$202.09 / $317.99 / $482.38