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Missouri rates for HCPCS 63056

Transpedicular approach with decompression of spinal cord, equina and/or nerve root(s) (eg, herniated intervertebral disc), single segment; lumbar (including transfacet, or lateral extraforaminal approach) (eg, far lateral herniated intervertebral disc)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,801.32 / $5,560.00 / $11,039.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,114.00 / $5,617.00 / $12,691.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,381.16 / $2,298.15 / $19,913.50
Medica
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$363.74 / $363.74 / $1,887.52
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,426.00 / $5,717.00 / $12,989.00