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North Dakota 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
$1,702.83 / $1,702.83 / $8,500.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,702.83 / $2,344.73 / $3,060.29