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West Virginia 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
$303.55 / $513.66 / $1,400.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$341.81 / $397.80 / $433.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$365.38 / $365.38 / $365.38
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$35.86 / $35.86 / $35.86