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North Carolina 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
$1,615.00 / $4,350.00 / $13,764.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,068.73 / $2,168.61 / $2,477.92
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $3,573.61 / $5,784.53
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,161.96 / $2,168.61 / $2,710.54
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,161.96 / $2,161.96 / $2,944.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.00 / $15.00 / $2,992.60
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$806.00 / $3,994.00 / $6,543.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,999.22 / $2,809.10 / $5,535.51
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34,216.00 / $41,870.24 / $41,870.24
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16,452.64 / $19,712.03 / $19,712.03