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Ohio 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
$1,899.00 / $5,264.00 / $7,184.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38,499.62 / $38,499.62 / $38,499.62
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,255.23 / $2,255.23 / $2,324.33