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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
$758.58 / $2,398.83 / $6,606.93
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,912.51 / $13,803.84 / $22,908.68
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,754.40 / $5,754.40 / $5,754.40
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$169.82 / $457.09 / $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
$138.04 / $630.96 / $2,511.89