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Washington 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
$374.66 / $2,064.40 / $14,464.32
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $1,021.06 / $4,038.06
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$714.97 / $765.00 / $870.49
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$246.21 / $764.40 / $2,237.78
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$410.71 / $1,380.02 / $1,821.06
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$989.86 / $989.86 / $1,021.06
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$157.00 / $648.00 / $5,793.00