go back

Alaska rates for HCPCS 0657T

Anterior lumbar or thoracolumbar vertebral body tethering; 8 or more vertebral segments

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,344.23 / $11,220.18 / $18,197.01
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,041.74 / $2,089.30 / $2,511.89
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,380.38 / $2,754.23 / $3,981.07
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,698.24 / $2,344.23 / $2,754.23
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,606.93 / $9,332.54 / $12,882.50
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,698.24 / $2,818.38 / $3,981.07
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,754.23 / $10,232.93 / $13,182.57