go back

Texas rates for HCPCS 22511

Percutaneous vertebroplasty (bone biopsy included when performed), 1 vertebral body, unilateral or bilateral injection, inclusive of all imaging guidance; lumbosacral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$882.00 / $3,500.00 / $12,281.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,592.33 / $4,379.92 / $9,307.33
Baylor Scott & White
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,245.39 / $3,292.65 / $7,217.31
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$355.27 / $2,687.03 / $2,687.03
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$691.12 / $691.12 / $691.12
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $55.00 / $3,187.68
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$392.99 / $1,357.43 / $2,794.72
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$392.99 / $1,357.43 / $2,794.72
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,634.00 / $4,166.00 / $17,386.00