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Idaho rates for HCPCS 63064

Costovertebral approach with decompression of spinal cord or nerve root(s) (eg, herniated intervertebral disc), thoracic; single segment

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,500.00 / $4,500.00 / $5,519.00
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,681.13 / $3,122.64 / $4,762.87
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,653.11 / $17,361.59 / $22,059.79
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,600.00 / $11,800.00 / $29,092.00