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Pennsylvania 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
$1,519.00 / $5,403.00 / $10,689.00
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
$1,700.59 / $1,700.59 / $1,700.59
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$168.44 / $168.44 / $168.44
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,361.16 / $15,089.40 / $22,504.44
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,462.00 / $6,029.00 / $10,689.00
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,700.59 / $1,700.59 / $1,700.59
Priority Health
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$168.44 / $168.44 / $168.44
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,462.73 / $1,462.73 / $1,797.66
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,468.00 / $4,563.00 / $7,000.00