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New York 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
$356.63 / $3,317.00 / $10,170.00
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$357.32 / $357.32 / $357.32
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$293.27 / $293.27 / $293.27
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
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$238.89 / $319.00 / $707.74
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$235.91 / $235.91 / $235.91
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,374.00 / $1,717.50 / $1,989.00
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$293.27 / $555.00 / $37,776.00
MVP Health Care
Facility/Professional
Facility
Modifier
62
Low / Median / High Price
$179.89 / $179.89 / $179.89
MVP Health Care
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$28.78 / $28.78 / $28.78
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$835.00 / $2,826.00 / $4,840.00
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$424.63 / $424.63 / $526.26