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New Hampshire 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
$100.00 / $100.00 / $21,126.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,215.29 / $2,498.57 / $2,774.70
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,512.20 / $20,162.41 / $35,151.03
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,151.04 / $3,365.25 / $5,043.45
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,604.13 / $2,604.13 / $2,604.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10,842.01 / $10,842.01 / $10,842.01
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,575.07 / $4,046.21 / $7,947.95
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,448.00 / $7,448.00 / $7,448.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,610.31 / $3,632.46 / $6,883.14
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,500.00 / $2,750.00 / $3,500.00