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Open Biopsy of a Neck or Lower Back Vertebra

Rhode Island 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 $3,981 · 10th–90th $2,399$12,0230%10%20%10th90th$3,981$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
Aetna
Setting
Facility
Modifier
Global
Typical Low
$2,398.83
Median
$3,235.94
Typical High
$3,981.07
United
Setting
Facility
Modifier
Global
Typical Low
$2,818.38
Median
$5,128.61
Typical High
$12,022.64