go back

West Virginia 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
$181.97 / $181.97 / $1,412.54
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$245.47 / $245.47 / $309.03
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.67 / $389.05 / $389.05
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
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,079.46 / $7,079.46 / $7,079.46
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$457.09 / $457.09 / $457.09