go back

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
$1,506.15 / $5,463.36 / $13,841.56
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,828.40 / $10,296.48 / $19,916.72
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$196.74 / $334.46 / $2,990.54
Medica
Facility/Professional
Facility
Modifier
62
Low / Median / High Price
$342.53 / $650.92 / $650.92
Medica
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$54.80 / $104.15 / $104.15
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$395.46 / $443.46 / $611.29
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,031.00 / $1,775.00 / $4,406.00