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Utah 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
$5,754.40 / $5,754.40 / $6,309.57
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,677.35 / $4,677.35 / $5,128.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,819.70 / $2,511.89 / $3,235.94