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Pennsylvania 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
$298.87 / $4,522.50 / $9,542.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.71 / $268.48 / $1,070.09
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$342.70 / $342.70 / $395.86
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,639.91 / $11,851.00 / $26,582.19
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$209.81 / $217.72 / $296.42
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$239.34 / $239.34 / $239.34
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
$202.76 / $267.20 / $448.82
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$248.07 / $346.42 / $428.49
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$551.33 / $1,360.26 / $7,145.57
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$198.97 / $224.71 / $476.88
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$309.29 / $4,262.00 / $9,534.00
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$191.77 / $309.29 / $1,075.05
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$266.50 / $266.50 / $426.50
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$239.34 / $239.34 / $239.34
Priority Health
Facility/Professional
Facility
Modifier
62
Low / Median / High Price
$146.80 / $146.80 / $146.80
Priority Health
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$23.49 / $23.49 / $23.49
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$201.71 / $270.04 / $455.32
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$204.83 / $204.83 / $345.84
UPMC Health Plan
Facility/Professional
Facility
Modifier
62
Low / Median / High Price
$326.29 / $326.29 / $326.29
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$195.17 / $208.93 / $345.84
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$162.00 / $1,078.00 / $5,609.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.41 / $274.72 / $426.48