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South Dakota 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
$2,103.41 / $2,103.41 / $4,338.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,001.89 / $2,103.41 / $2,171.07
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,308.48 / $3,554.76 / $4,342.14
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,372.75 / $4,447.28 / $16,926.72
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,610.83 / $2,905.11 / $4,191.47
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,905.11 / $2,905.11 / $11,510.48
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,000.00 / $2,000.00 / $2,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,446.00 / $4,013.51 / $6,243.24