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Missouri 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
$1,000.00 / $2,570.40 / $8,511.38
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,238.72 / $6,918.31 / $13,803.84
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$199.53 / $346.74 / $5,011.87
Medica
Facility/Professional
Facility
Modifier
62
Low / Median / High Price
$338.84 / $645.65 / $645.65
Medica
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$54.95 / $104.71 / $104.71
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$338.84 / $707.95 / $9,549.93