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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
$2,498.57 / $2,955.00 / $7,203.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,001.89 / $2,398.71 / $2,781.11
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$822.00 / $3,372.00 / $34,216.00
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,559.94 / $4,124.29 / $16,452.64
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,703.90 / $4,433.85 / $6,006.71
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.43 / $4,618.00 / $9,239.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,103.57 / $3,103.57 / $3,651.26
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,848.36 / $5,389.38 / $7,094.13
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$953.00 / $3,390.00 / $34,216.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,508.21 / $3,883.72 / $16,452.64
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$953.00 / $3,325.00 / $4,662.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,519.91 / $3,799.24 / $7,606.81