go back

Wisconsin 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
$180.87 / $715.79 / $9,245.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$180.87 / $291.23 / $3,236.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,159.00 / $11,302.00 / $14,586.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$195.31 / $442.95 / $1,120.58
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$200.86 / $241.03 / $313.13
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$178.50 / $191.09 / $272.52
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$501.02 / $585.48 / $898.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$307.61 / $755.71 / $858.76
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$180.87 / $271.31 / $723.48
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$180.87 / $381.37 / $1,778.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$232.45 / $398.10 / $3,668.75
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$108.15 / $215.84 / $482.46
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$180.87 / $271.31 / $723.48
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$411.20 / $501.34 / $748.40
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,634.70 / $4,634.70 / $4,634.70
Quartz
Facility/Professional
Facility
Modifier
62
Low / Median / High Price
$598.89 / $598.89 / $598.89
Quartz
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$95.82 / $95.82 / $95.82
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$379.66 / $968.55 / $3,668.75
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$731.21 / $1,131.59 / $1,131.59
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,034.00 / $1,423.00 / $2,202.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$232.29 / $395.04 / $877.51