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Arizona 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
$1,965.00 / $4,521.00 / $8,326.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,938.33 / $2,288.64 / $3,572.69
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,310.70 / $4,934.39 / $8,070.83
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,116.43 / $1,275.92 / $1,594.90
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,794.00 / $3,314.00 / $6,589.83
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,043.21 / $2,636.40 / $6,731.64
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,519.00 / $3,269.00 / $5,491.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,043.21 / $2,504.57 / $4,745.51