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Washington 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
$2,191.79 / $4,522.18 / $22,024.00
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,000.00 / $20,262.22 / $38,781.51
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,000.00 / $2,285.42 / $2,500.00
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,840.18 / $3,743.65 / $6,397.05
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,540.00 / $3,371.15 / $3,611.97
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,392.75 / $2,392.75 / $2,463.69
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,146.66 / $20,262.22 / $38,781.51
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,028.00 / $5,547.00 / $19,271.00