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Open Biopsy of a Neck or Lower Back Vertebra

Minnesota 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 $2,951 · 10th–90th $562$25,7040%5%10%10th90th$2,951$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
$407.38
Median
$407.38
Typical High
$5,011.87
BCBS
Setting
Facility
Modifier
Global
Typical Low
$6,760.83
Median
$16,595.87
Typical High
$35,481.34
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,047.13
Median
$1,479.11
Typical High
$3,548.13
Health Partners
Setting
Facility
Modifier
Global
Typical Low
$1,174.90
Median
$1,445.44
Typical High
$2,884.03
Medica
Setting
Facility
Modifier
Global
Typical Low
$446.68
Median
$831.76
Typical High
$6,918.31
United
Setting
Facility
Modifier
Global
Typical Low
$2,818.38
Median
$5,011.87
Typical High
$18,620.87