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Open Biopsy of a Neck or Lower Back Vertebra

Massachusetts 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 $3,311 · 10th–90th $575$6,1660%5%10%10th90th$3,311$100.0$500.0$2.0K$10.0K$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
$1,778.28
Median
$3,311.31
Typical High
$5,128.61
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$1,000.00
Median
$6,165.95
Typical High
$45,708.82
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$426.58
Median
$588.84
Typical High
$3,630.78
Harvard Pilgrim
Setting
Facility
Modifier
Global
Typical Low
$2,398.83
Median
$5,248.07
Typical High
$11,220.18
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$1,000.00
Median
$6,165.95
Typical High
$45,708.82
United
Setting
Facility
Modifier
Global
Typical Low
$2,041.74
Median
$5,248.07
Typical High
$13,182.57