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Georgia 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
$2,166.92 / $6,014.00 / $9,488.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,829.20 / $2,138.23 / $2,510.46
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,395.16 / $8,505.87 / $20,858.61
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,043.48 / $2,235.08 / $5,022.96
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$500.00 / $2,500.00 / $2,604.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,657.46 / $3,657.46 / $10,842.01
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,480.00 / $3,224.00 / $4,340.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$625.00 / $3,587.00 / $9,079.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,021.87 / $3,318.28 / $5,205.57