go back

New York 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
$1,843.43 / $5,630.00 / $12,990.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,793.00 / $10,729.00 / $19,406.00
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,264.87 / $4,492.50 / $13,477.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,858.07 / $1,858.07 / $1,858.07
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$184.10 / $184.10 / $184.10
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$332.00 / $2,746.99 / $6,381.97
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,501.09 / $1,501.09 / $1,501.09
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$555.00 / $597.00 / $37,776.00
MVP Health Care
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$184.10 / $184.10 / $184.10
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,337.00 / $6,700.00 / $16,782.00
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,705.32 / $2,705.32 / $7,008.64