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Wisconsin rates for HCPCS 63066

Costovertebral approach with decompression of spinal cord or nerve root(s) (eg, herniated intervertebral disc), thoracic; each additional segment (List separately in addition to code for primary procedure)

Facilitymedian $1,660 · 10th–90th $219–$14,7910%5%10th90th$1,660Professionalmedian $275 · 10th–90th $178–$8130%10%10th90th$275$50.0$200.0$1.0K$5.0K$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
$169.82 / $380.19 / $14,454.40
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$169.82 / $204.17 / $489.78
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,754.40 / $12,589.25 / $16,218.10
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$190.55 / $354.81 / $912.01
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$478.63 / $549.54 / $891.25
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$269.15 / $724.44 / $831.76
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$181.97 / $426.58 / $10,471.29
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$331.13 / $446.68 / $575.44
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$181.97 / $426.58 / $1,778.28
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$208.93 / $363.08 / $3,467.37
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $70.79
Network Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$389.05 / $891.25 / $2,344.23
Network Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$229.09 / $446.68 / $794.33
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$251.19 / $446.68 / $660.69
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$478.63 / $4,073.80 / $4,073.80
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$354.81 / $912.01 / $3,467.37
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$645.65 / $645.65 / $645.65
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$588.84 / $1,071.52 / $1,202.26
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,023.29 / $1,659.59 / $3,467.37
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$199.53 / $309.03 / $794.33