go back

Iowa rates for HCPCS 63057

Transpedicular approach with decompression of spinal cord, equina and/or nerve root(s) (eg, herniated intervertebral disc), single segment; each additional segment, thoracic or lumbar (List separately in addition to code for primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,218.00 / $3,576.15 / $7,119.04
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$297.87 / $496.65 / $1,230.66
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$434.18 / $733.76 / $1,623.00
Medica
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$146.69 / $146.69 / $146.69
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$550.41 / $705.24 / $913.05
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,204.00 / $1,640.00 / $2,126.00