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South 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
$371.68 / $4,375.00 / $16,467.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,476.09 / $11,396.22 / $19,507.71
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$365.38 / $365.38 / $890.00
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$35.86 / $35.86 / $35.86
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$350.47 / $453.27 / $710.71
Medcost
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$54.70 / $66.64 / $94.35
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$225.00 / $1,679.00 / $12,047.00