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New York rates for HCPCS 63195

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

Insurance Carrier
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,749.00 / $9,877.00 / $16,490.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,999.70 / $3,999.70 / $4,395.71
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26,028.00 / $26,028.00 / $37,776.00
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,999.70 / $3,999.70 / $4,395.71