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Arizona rates for HCPCS 63053

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; each additional vertebral segment (List separately in addition to code for primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$977.24 / $2,818.38 / $5,623.41
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$309.03 / $1,000.00 / $1,479.11
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$199.53 / $309.03 / $7,585.78
Medica
Facility/Professional
Facility
Modifier
62
Low / Median / High Price
$338.84 / $338.84 / $645.65
Medica
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$54.95 / $54.95 / $104.71
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$707.95 / $2,089.30 / $8,912.51