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South Dakota rates for HCPCS 22512

Percutaneous vertebroplasty (bone biopsy included when performed), 1 vertebral body, unilateral or bilateral injection, inclusive of all imaging guidance; each additional cervicothoracic or lumbosacral vertebral body (List separately in addition to code for primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$198.46 / $765.75 / $765.75
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$281.44 / $892.71 / $2,043.16
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$448.31 / $1,438.41 / $2,043.16
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.74 / $1,107.11 / $1,617.02
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$821.00 / $821.00 / $821.00