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Michigan rates for HCPCS 63190

Laminectomy with rhizotomy; more than 2 segments

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,590.06 / $4,933.00 / $4,933.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,068.24 / $1,557.86 / $1,651.21
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,055.47 / $7,107.34 / $9,629.31
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$332.73 / $1,352.04 / $2,291.63
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$907.19 / $1,481.36 / $2,815.14
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,329.83 / $1,590.06 / $4,933.00
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,240.64 / $1,417.88 / $1,993.43
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$133.33 / $910.77 / $1,486.78
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,356.00 / $11,464.00 / $14,085.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,280.93 / $1,507.15 / $2,136.98