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Pennsylvania rates for HCPCS 0657T

Ant Lumbar/Tlmbr Vrt Body Tethrg 8+Vrt Seg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,499.00 / $4,680.00 / $9,676.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,365.97 / $2,054.92 / $2,596.67
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
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,301.00 / $5,079.00 / $10,527.00
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,365.97 / $2,184.85 / $2,843.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.00 / $15.00 / $15.00
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,604.13 / $2,604.13 / $2,604.13
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10,842.01 / $10,842.01 / $10,842.01
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$448.00 / $2,391.00 / $6,322.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,297.57 / $2,808.14 / $4,611.66