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Indiana 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
$1,386.00 / $3,500.00 / $10,985.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,365.97 / $1,643.62 / $2,321.08
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,881.00 / $23,381.41 / $33,555.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,916.87 / $2,189.46 / $2,255.15
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,056.58 / $2,056.58 / $34,930.65
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,056.58 / $2,056.58 / $30,848.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.12 / $1.32 / $1.32
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,062.00 / $5,167.00 / $10,396.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,902.94 / $2,594.62 / $4,454.56