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West Virginia 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
$1,400.00 / $1,528.68 / $2,600.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,733.21 / $2,004.95 / $2,184.42
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