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Massachusetts 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
$2,570.40 / $4,073.80 / $7,585.78
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,698.24 / $2,290.87 / $2,754.23
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,023.29 / $3,630.78 / $46,773.51
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,454.71 / $3,715.35 / $16,595.87
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,691.53 / $4,570.88 / $6,165.95
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.18 / $4,897.79 / $9,772.37
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,090.30 / $3,090.30 / $3,630.78
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,000.00 / $3,311.31 / $5,888.44
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,398.83 / $4,265.80 / $6,165.95
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,778.28 / $3,715.35 / $46,773.51
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,454.71 / $3,715.35 / $16,595.87
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,000.00 / $3,388.44 / $31,622.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,454.71 / $3,630.78 / $6,456.54