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Virginia rates for HCPCS 63194

Laminectomy with cordotomy, with section of 1 spinothalamic tract, 1 stage; cervical

Insurance Carrier
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,823.00 / $12,004.00 / $15,528.00
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,394.51 / $6,394.51 / $6,394.51
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,645.00 / $1,891.00 / $2,308.00