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South Carolina 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
$263.03 / $4,897.79 / $9,772.37
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,248.07 / $11,481.54 / $20,417.38
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$389.05 / $14,791.08 / $15,488.17
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
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$186.21 / $263.03 / $416.87
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$354.81 / $1,737.80 / $18,197.01