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Open Biopsy of a Neck or Lower Back Vertebra

Louisiana 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 $2,692 · 10th–90th $759$6,9180%5%10th90th$2,692$50.0$200.0$1.0K$5.0K$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
$758.58
Median
$2,041.74
Typical High
$4,570.88
BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,467.37
Median
$6,760.83
Typical High
$14,125.38
Christus
Setting
Facility
Modifier
Global
Typical Low
$39.81
Median
$39.81
Typical High
$407.38
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,202.26
Median
$1,202.26
Typical High
$1,202.26
United
Setting
Facility
Modifier
Global
Typical Low
$1,047.13
Median
$3,801.89
Typical High
$11,481.54