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South Carolina 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
$4,265.80 / $10,000.00 / $18,197.01
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,466.84 / $10,715.19 / $19,952.62
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,344.23 / $2,754.23 / $5,754.40
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$275.42 / $275.42 / $275.42
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,691.53 / $2,691.53 / $3,801.89
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,584.89 / $2,187.76 / $3,715.35
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,677.35 / $18,197.01 / $25,703.96