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New York 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
$309.03 / $3,090.30 / $9,332.54
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$269.15 / $269.15 / $269.15
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.67 / $389.05 / $50,118.72
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
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$162.18 / $257.04 / $724.44
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$208.93 / $208.93 / $208.93
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$645.65 / $1,380.38 / $1,995.26
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$245.47 / $50,118.72 / $75,857.76
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,258.93 / $2,754.23 / $4,897.79
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$181.97 / $331.13 / $380.19