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Texas 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
$969.00 / $3,682.00 / $12,281.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,204.30 / $9,451.48 / $18,989.00
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.00 / $1,637.22 / $1,712.93
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,030.88 / $2,030.88 / $2,030.88
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $5,000.00 / $21,913.76
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,686.19 / $2,192.05 / $3,565.16
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,686.19 / $2,199.86 / $3,642.14
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,605.00 / $7,333.00 / $16,000.00