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Louisiana 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
$1,023.29 / $3,162.28 / $6,606.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,698.24 / $2,238.72 / $2,630.27
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$398.11 / $398.11 / $398.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$389.05 / $1,698.24 / $21,379.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,995.26 / $2,570.40 / $4,168.69