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Open Biopsy of a Neck or Lower Back Vertebra

Maryland 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 $646 · 10th–90th $513$3,3110%10%10th90th$646Professionalmedian $501 · 10th–90th $447$7590%20%40%10th90th$501$500.0$1.0K$2.0K$5.0K$10.0K

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

Insurance Carrier
Cigna
Setting
Facility
Modifier
Global
Typical Low
$512.86
Median
$512.86
Typical High
$3,311.31
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$446.68
Median
$501.19
Typical High
$758.58
United
Setting
Facility
Modifier
Global
Typical Low
$407.38
Median
$645.65
Typical High
$14,791.08