go back

Montana rates for HCPCS 0656T

Anterior lumbar or thoracolumbar vertebral body tethering; up to 7 vertebral segments

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,513.56 / $2,089.30 / $2,454.71
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,548.13 / $3,548.13 / $3,548.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,548.13 / $3,548.13 / $3,548.13
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,801.89 / $3,801.89 / $3,981.07
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,801.89 / $3,801.89 / $3,981.07
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,187.76 / $2,630.27 / $3,548.13
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,548.13 / $3,548.13 / $3,548.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,818.38 / $3,715.35 / $4,168.69