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Hawaii 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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,528.00 / $2,747.00 / $6,084.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$488.73 / $767.48 / $9,952.16
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,028.73 / $7,388.15 / $8,865.78
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$793.20 / $980.59 / $9,834.43
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$544.54 / $6,265.15 / $7,388.15
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,028.00 / $3,028.00 / $3,028.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,028.73 / $7,388.15 / $11,609.34
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$602.83 / $9,814.00 / $12,881.00