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Iowa 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 $6,166 · 10th–90th $891–$14,7910%10%10th90th$6,166Professionalmedian $5,248 · 10th–90th $490–$12,0230%5%10%10th90th$5,248$100.0$500.0$2.0K$10.0K$50.0K

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
$794.33 / $5,370.32 / $9,120.11
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$489.78 / $3,019.95 / $10,000.00
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$870.96 / $6,309.57 / $16,218.10
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$537.03 / $5,248.07 / $7,762.47
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$977.24 / $9,332.54 / $17,782.79
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5,128.61 / $12,589.25 / $22,387.21
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,174.90 / $12,882.50 / $16,218.10
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,348.96 / $13,803.84 / $26,915.35
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8,511.38 / $12,882.50 / $19,054.61
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$537.03 / $5,370.32 / $15,488.17
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$977.24 / $1,148.15 / $12,022.64