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Nebraska 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
$1,535.50 / $8,477.27 / $20,928.72
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,619.76 / $8,706.79 / $16,841.75
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,535.50 / $2,763.90 / $9,696.00
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,991.94 / $3,879.75 / $5,508.25
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,777.00 / $8,220.00 / $9,696.00