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New Hampshire 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
$100.00 / $3,764.10 / $9,859.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,512.20 / $9,458.00 / $17,400.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,858.07 / $5,257.46 / $5,441.47
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$184.10 / $184.10 / $184.10
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,399.00 / $12,399.00 / $12,399.00