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Open Biopsy of a Neck or Lower Back Vertebra

South Carolina 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 $7,586 · 10th–90th $513$16,5960%10%10th90th$7,586$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
$1,122.02
Median
$9,120.11
Typical High
$16,595.87
BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,344.23
Median
$5,128.61
Typical High
$9,120.11
Cigna
Setting
Facility
Modifier
Global
Typical Low
$575.44
Median
$891.25
Typical High
$5,754.40
Medcost
Setting
Facility
Modifier
Global
Typical Low
$436.52
Median
$575.44
Typical High
$977.24
United
Setting
Facility
Modifier
Global
Typical Low
$5,128.61
Median
$12,302.69
Typical High
$29,512.09