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Ohio 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
$345.04 / $2,113.00 / $9,534.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$246.61 / $295.93 / $369.92
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21,571.00 / $21,571.00 / $21,571.00
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$293.27 / $1,705.91 / $3,017.53
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
62
Low / Median / High Price
$179.89 / $179.89 / $179.89
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$28.78 / $28.78 / $28.78
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$444.00 / $965.00 / $2,914.00