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Oklahoma 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
$1,392.00 / $4,928.00 / $16,400.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,165.09 / $1,838.87 / $2,365.53
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$900.00 / $900.00 / $900.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$890.00 / $1,838.87 / $6,155.68
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,922.06 / $2,555.19 / $16,926.72
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$350.00 / $1,760.00 / $6,155.68
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,902.94 / $2,504.57 / $3,522.81