go back

Maine 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
$2,181.52 / $2,199.28 / $2,498.57
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24,744.96 / $31,420.90 / $36,545.83
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,382.26 / $2,802.67 / $3,611.50
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,866.44 / $3,316.47 / $5,087.64
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,181.52 / $2,199.28 / $2,494.15
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,185.80 / $3,178.47 / $4,584.47