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Minnesota 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
$208.93 / $208.93 / $2,238.72
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$138.04 / $158.49 / $17,782.79
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$537.03 / $758.58 / $1,819.70
Cigna
Facility/Professional
Facility
Modifier
62
Low / Median / High Price
$245.47 / $245.47 / $245.47
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$38.90 / $38.90 / $38.90
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$588.84 / $741.31 / $1,445.44
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$223.87 / $371.54 / $1,737.80
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$380.19 / $1,862.09 / $3,467.37