go back

Oklahoma 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
$1,432.81 / $4,856.00 / $14,100.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,444.76 / $15,004.39 / $23,706.76
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,659.86 / $5,659.86 / $5,659.86
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,448.21 / $2,302.27 / $11,615.00
Medica
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$393.31 / $1,887.52 / $1,887.52
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,851.00 / $7,307.00 / $14,139.00