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Idaho 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
$4,500.00 / $4,657.00 / $5,519.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,026.97 / $2,155.16 / $2,466.51
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,026.97 / $2,232.71 / $2,929.46
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $55.00 / $3,900.00
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,941.52 / $3,460.61 / $3,460.61
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$675.00 / $3,700.00 / $26,104.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,504.57 / $3,427.33 / $4,877.35