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Pennsylvania rates for HCPCS 63091

Vertebral corpectomy (vertebral body resection), partial or complete, transperitoneal or retroperitoneal approach with decompression of spinal cord, cauda equina or nerve root(s), lower thoracic, lumbar, or sacral; each additional segment (List separately in addition to code for primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$179.29 / $2,747.00 / $8,451.00
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,531.00 / $27,840.00 / $46,296.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$199.25 / $199.25 / $199.25
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$19.50 / $19.50 / $19.50
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$832.00 / $4,761.00 / $8,524.00
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$199.25 / $199.25 / $199.25
Priority Health
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$19.50 / $19.50 / $19.50
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$171.50 / $171.50 / $249.54
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$618.00 / $2,391.00 / $6,322.00