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Missouri 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
$416.75 / $3,158.00 / $12,154.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,114.00 / $5,617.00 / $12,691.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$225.24 / $383.49 / $5,000.00
Medica
Facility/Professional
Facility
Modifier
62
Low / Median / High Price
$385.46 / $385.46 / $735.14
Medica
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$61.67 / $61.67 / $117.62
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$245.00 / $1,218.00 / $9,475.00