go back

Virginia rates for HCPCS 63053

Lam Facetec/Foramot Drg Arthrd Lmbr Ea Addl Sgm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$231.92 / $2,883.76 / $8,294.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$260.63 / $260.63 / $640.00
Cigna
Facility/Professional
Facility
Modifier
62
Low / Median / High Price
$159.84 / $159.84 / $159.84
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$25.58 / $25.58 / $25.58
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$212.44 / $272.64 / $314.41
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$203.09 / $251.68 / $391.94
Medcost
Facility/Professional
Facility
Modifier
80
Low / Median / High Price
$58.87 / $60.95 / $132.04
Medcost
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$41.21 / $42.66 / $92.43
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$193.61 / $260.52 / $805.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$231.00 / $1,045.00 / $2,364.00