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Nationwide rates for HCPCS C9757

Laminotomy (Hemilaminectomy) With Decompression Of Nerve Root(S) Including Partial Facetectomy Foraminotomy And Excision Of Herniated Intervertebral Disc And Repair Of Annular Defect With Implantation Of Bone Anchored Annular Closure Device Including Annular Defect Measurement Alignment And Sizing Assessment And Image Guidance; 1 Interspace Lumbar

Insurance Carrier	Facility/Professional	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,593.50 / $5,736.50 / $9,987.50	Facility	$2,593.50	$5,736.50	$9,987.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16,536.72 / $16,536.72 / $16,536.72	Professional	$16,536.72	$16,536.72	$16,536.72
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,543.00 / $9,992.00 / $17,206.00	Facility	$6,543.00	$9,992.00	$17,206.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $291.63 / $304.26 / $342.79	Professional	$291.63	$304.26	$342.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,524.73 / $9,940.32 / $14,713.43	Facility	$5,524.73	$9,940.32	$14,713.43
United Facility/Professional Facility Modifier Low / Median / High Price $3,028.00 / $7,457.00 / $14,139.00	Facility	$3,028.00	$7,457.00	$14,139.00

Nationwide rates for HCPCS C9757

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