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Nebraska 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
$1,548.82 / $4,073.80 / $12,589.25
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,762.47 / $10,232.93 / $19,952.62
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$194.98 / $331.13 / $3,630.78
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
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$407.38 / $446.68 / $588.84
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,096.48 / $1,548.82 / $4,570.88