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Missouri 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
$1,760.00 / $5,389.00 / $12,154.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,114.00 / $5,617.00 / $12,691.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,642.88 / $2,693.15 / $9,475.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,426.00 / $5,717.00 / $12,989.00