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Missouri 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
$1,760.00 / $5,560.00 / $9,823.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,114.00 / $5,617.00 / $12,691.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,517.10 / $2,458.10 / $9,475.00
Medica
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$393.31 / $393.31 / $1,887.52
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,209.00 / $5,717.00 / $12,989.00