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Missouri 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
$1,000.00 / $2,818.38 / $8,511.38
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,238.72 / $7,079.46 / $13,803.84
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$288.40 / $489.78 / $5,128.61
Medica
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$75.86 / $147.91 / $147.91
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$338.84 / $707.95 / $9,549.93