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Utah rates for HCPCS 63064

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

Facilitymedian $4,467 · 10th–90th $2,512–$13,8040%20%10th90th$4,467Professionalmedian $2,754 · 10th–90th $1,622–$3,9810%20%10th90th$2,754$2.0K$5.0K$10.0K$20.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,511.89 / $3,388.44 / $6,025.60
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10,232.93 / $14,125.38 / $21,379.62
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,621.81 / $2,754.23 / $3,981.07
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,698.24 / $5,128.61 / $15,848.93