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Indiana rates for HCPCS 63055

Transpedicular approach with decompression of spinal cord, equina and/or nerve root(s) (eg, herniated intervertebral disc), single segment; thoracic

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,445.44 / $4,897.79 / $16,218.10
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,589.25 / $30,199.52 / $43,651.58
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,412.54 / $1,548.82 / $1,778.28
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,737.80 / $2,511.89 / $3,548.13
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,128.61 / $11,220.18 / $17,378.01