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North Carolina 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
$310.98 / $1,881.00 / $5,449.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,813.48 / $6,813.48 / $6,912.90
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$606.10 / $606.10 / $606.10
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$310.98 / $403.00 / $670.24
Medcost
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$56.35 / $56.42 / $98.39
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$117.00 / $896.00 / $2,229.00
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,219.46 / $5,008.92 / $5,008.92
Wellcare
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$44.02 / $76.37 / $151.57