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Pennsylvania 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
$1,491.42 / $4,050.00 / $8,933.00
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,639.91 / $11,851.00 / $26,582.19
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
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,089.40 / $15,089.40 / $19,401.41
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,301.00 / $5,342.00 / $10,247.00
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,858.07 / $1,858.07 / $1,858.07
Priority Health
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$184.10 / $184.10 / $184.10
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,594.94 / $1,594.94 / $1,960.82
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,468.00 / $4,563.00 / $7,000.00