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Georgia rates for HCPCS 63052

Laminectomy, facetectomy, or foraminotomy (unilateral or bilateral with decompression of spinal cord, cauda equina and/or nerve root[s] [eg, spinal or lateral recess stenosis]), during posterior interbody arthrodesis, lumbar; single vertebral segment (List separately in addition to code for primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$392.79 / $3,391.00 / $6,915.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,875.00 / $7,875.00 / $7,875.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$246.61 / $348.22 / $448.86
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$293.27 / $2,225.00 / $57,200.00
Cigna
Facility/Professional
Facility
Modifier
62
Low / Median / High Price
$179.89 / $179.89 / $179.89
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$28.78 / $28.78 / $28.78
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$295.32 / $385.20 / $1,335.00
Kaiser Permanente
Facility/Professional
Professional
Modifier
22
Low / Median / High Price
$891.17 / $891.17 / $891.17
Kaiser Permanente
Facility/Professional
Professional
Modifier
62
Low / Median / High Price
$278.49 / $278.49 / $278.49
Kaiser Permanente
Facility/Professional
Professional
Modifier
80
Low / Median / High Price
$23.76 / $23.76 / $23.76
Kaiser Permanente
Facility/Professional
Professional
Modifier
AS
Low / Median / High Price
$11.88 / $11.88 / $11.88
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$175.00 / $1,550.00 / $2,665.00