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Tennessee 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
$234.42 / $1,380.38 / $3,981.07
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $147.91 / $602.56
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.20 / $30.20 / $30.20
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,981.07 / $3,981.07 / $5,011.87
Lucent Health
Facility/Professional
Facility
Modifier
62
Low / Median / High Price
$2,511.89 / $2,511.89 / $2,511.89
Lucent Health
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$398.11 / $398.11 / $398.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$295.12 / $812.83 / $2,818.38