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New Hampshire 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
$100.00 / $3,764.10 / $9,913.69
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$182.28 / $242.56 / $376.73
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$203.06 / $203.06 / $203.06
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.75 / $354.20 / $564.10
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$239.34 / $5,257.46 / $5,441.47
Cigna
Facility/Professional
Facility
Modifier
62
Low / Median / High Price
$146.80 / $146.80 / $146.80
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$23.49 / $23.49 / $23.49
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$261.14 / $386.59 / $612.15
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.40 / $368.76 / $723.48
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,448.00 / $7,448.00 / $7,448.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$246.12 / $357.07 / $628.40
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$164.64 / $197.57 / $290.42