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Oklahoma 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
$882.00 / $3,683.00 / $7,500.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,444.76 / $15,004.39 / $23,706.76
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,792.00 / $5,792.00 / $5,792.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$170.81 / $302.52 / $4,132.00
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
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$139.00 / $610.00 / $2,490.86