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Arkansas 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
$1,305.40 / $1,990.00 / $3,324.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,305.40 / $2,049.90 / $2,774.70
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$375.00 / $900.00 / $2,421.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,069.44 / $2,857.50 / $4,162.01