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Missouri rates for HCPCS 0657T

Ant Lumbar/Tlmbr Vrt Body Tethrg 8+Vrt Seg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,035.00 / $5,389.00 / $12,154.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,398.56 / $2,130.04 / $2,760.36
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,635.19 / $20,108.73 / $40,144.57
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,100.98 / $2,217.15 / $3,928.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,208.83 / $5,208.83 / $5,208.83
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,398.56 / $2,760.36 / $8,000.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,193.90 / $3,184.03 / $16,926.72
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,185.00 / $3,500.00 / $11,343.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,140.80 / $2,985.23 / $4,914.99