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Open Biopsy of a Neck or Lower Back Vertebra

Florida rates for HCPCS 20251

Through an incision, the surgeon exposes the body of a vertebra in the neck or the lower back and takes a sample of bone from it for laboratory examination. It is used when imaging shows infection, a growth, or unexplained destruction of the bone and a diagnosis is needed. Open sampling is chosen when a needle sample is not possible or has not given an answer.

Facilitymedian $5,495 · 10th–90th $1,000$12,5890%5%10%10th90th$5,495$500.0$1.0K$2.0K$5.0K$10.0K$20.0K$50.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$933.25
Median
$4,365.16
Typical High
$10,471.29
AvMed
Setting
Facility
Modifier
Global
Typical Low
$954.99
Median
$4,466.84
Typical High
$11,220.18
Cigna
Setting
Facility
Modifier
Global
Typical Low
$489.78
Median
$3,467.37
Typical High
$4,168.69
Florida Blue
Setting
Facility
Modifier
Global
Typical Low
$6,456.54
Median
$13,489.63
Typical High
$23,988.33
United
Setting
Facility
Modifier
Global
Typical Low
$2,630.27
Median
$7,943.28
Typical High
$12,882.50