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New Hampshire rates for HCPCS 0656T

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $21,126.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,144.38 / $2,418.57 / $2,685.83
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,497.60 / $20,162.41 / $35,151.03
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,962.79 / $3,187.37 / $4,658.08
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,520.26 / $2,520.26 / $2,520.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10,495.89 / $10,495.89 / $10,495.89
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,492.86 / $3,917.03 / $7,694.21
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,448.00 / $7,448.00 / $7,448.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,597.81 / $3,739.29 / $6,662.79
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,500.00 / $2,750.00 / $3,500.00