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Maryland rates for HCPCS 63199

Laminectomy with cordotomy with section of both spinothalamic tracts, 2 stages within 14 days; thoracic

Insurance Carrier
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,760.83 / $8,128.31 / $9,772.37
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,884.03 / $3,890.45 / $5,011.87
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$173.78 / $371.54 / $2,089.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,479.11 / $2,089.30 / $2,818.38