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Pennsylvania rates for HCPCS 63200

Laminectomy Release Tethered Spinal Cord Lumbar

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,301.00 / $2,747.00 / $8,427.00
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,531.00 / $27,840.00 / $46,296.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,766.56 / $1,766.56 / $1,766.56
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,013.00 / $4,761.00 / $8,451.00
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,766.56 / $1,766.56 / $1,766.56
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,431.17 / $1,498.30 / $1,498.30
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,340.00 / $6,515.00 / $12,076.00