go back

Utah 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
$2,155.16 / $4,387.00 / $10,458.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,026.97 / $2,155.16 / $2,466.51
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,449.03 / $7,449.03 / $7,449.03
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $45.00 / $60.00
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,369.79 / $2,664.15 / $3,460.61
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,312.00 / $2,446.00 / $13,847.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,021.87 / $2,504.57 / $4,152.33