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Maryland rates for HCPCS 0657T

Anterior lumbar or thoracolumbar vertebral body tethering; 8 or more vertebral segments

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,712.18 / $2,398.71 / $2,596.67
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$507.00 / $507.00 / $641.21
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,410.01 / $2,917.38 / $3,625.09
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$173.00 / $173.00 / $471.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,933.03 / $2,706.24 / $4,917.62