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Open Biopsy of a Neck or Lower Back Vertebra

Iowa 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 $4,266 · 10th–90th $646$15,8490%5%10%10th90th$4,266Professionalmedian $776 · 10th–90th $398$2,0420%10%10th90th$776$200.0$500.0$1.0K$2.0K$5.0K$10.0K$20.0K

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
$645.65
Median
$3,981.07
Typical High
$7,943.28
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$380.19
Median
$616.60
Typical High
$2,137.96
Medica
Setting
Facility
Modifier
Global
Typical Low
$645.65
Median
$1,122.02
Typical High
$17,782.79
Midlands
Setting
Professional
Modifier
Global
Typical Low
$831.76
Median
$954.99
Typical High
$1,148.15
United
Setting
Facility
Modifier
Global
Typical Low
$5,495.41
Median
$10,232.93
Typical High
$19,054.61