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Wisconsin 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
$194.98 / $436.52 / $14,454.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$549.54 / $630.96 / $1,023.29
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$194.98 / $436.52 / $10,471.29
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$208.93 / $436.52 / $1,778.28
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.23 / $478.63 / $707.95
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$549.54 / $549.54 / $3,548.13
Quartz
Facility/Professional
Facility
Modifier
62
Low / Median / High Price
$338.84 / $338.84 / $2,238.72
Quartz
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$54.95 / $54.95 / $354.81
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,023.29 / $1,584.89 / $1,949.84