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Louisiana 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
$485.83 / $1,300.00 / $3,685.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,829.40 / $9,484.95 / $13,323.02
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $280.32
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,802.00 / $1,802.00 / $1,802.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$194.00 / $543.00 / $1,596.00