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Texas 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
$1,002.00 / $3,682.00 / $12,826.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,084.66 / $9,092.56 / $18,389.06
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.00 / $1,507.37 / $1,576.91
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
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $5,000.00 / $20,179.93
Lucent Health
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$350.08 / $1,887.52 / $1,887.52
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,550.08 / $2,002.68 / $3,333.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,554.69 / $2,003.04 / $3,372.60
Providence
Facility/Professional
Facility
Modifier
80
Low / Median / High Price
$620.04 / $620.04 / $620.04
Providence
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$184.10 / $184.10 / $527.04
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,600.00 / $7,123.00 / $16,000.00