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Georgia rates for HCPCS 22513

Percutaneous vertebral augmentation, including cavity creation (fracture reduction and bone biopsy included when performed) using mechanical device (eg, kyphoplasty), 1 vertebral body, unilateral or bilateral cannulation, inclusive of all imaging guidance; thoracic

Facilitymedian $5,888 · 10th–90th $2,512–$11,2200%5%10%10th90th$5,888Professionalmedian $1,122 · 10th–90th $490–$10,9650%5%10th90th$1,122$50.0$200.0$1.0K$5.0K$20.0K

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
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,715.35 / $5,623.41 / $9,549.93
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$478.63 / $4,677.35 / $10,964.78
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$467.74 / $645.65 / $11,220.18
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,238.72 / $5,888.44 / $12,882.50
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$575.44 / $891.25 / $1,412.54
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,511.89 / $2,511.89 / $4,786.30
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$645.65 / $1,479.11 / $12,882.50
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$512.86 / $5,888.44 / $12,882.50
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,995.26 / $7,079.46 / $14,454.40
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$537.03 / $5,370.32 / $12,882.50