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Pennsylvania 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
$366.82 / $2,505.00 / $8,017.00
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,000.00 / $8,639.91 / $79,506.39
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
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$732.38 / $1,978.36 / $2,576.89
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$379.87 / $2,371.00 / $8,017.00
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$293.27 / $293.27 / $293.27
Priority Health
Facility/Professional
Facility
Modifier
62
Low / Median / High Price
$179.89 / $179.89 / $179.89
Priority Health
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$28.78 / $28.78 / $28.78
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$251.57 / $251.57 / $279.74
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$162.00 / $650.00 / $4,430.00