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Idaho 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
$1,230.27 / $5,495.41 / $14,454.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$501.19 / $1,862.09 / $12,022.64
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,365.16 / $10,000.00 / $18,620.87
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$851.14 / $6,918.31 / $10,471.29
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,168.69 / $4,168.69 / $4,265.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.44 / $977.24 / $10,964.78
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$758.58 / $4,786.30 / $14,791.08
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$776.25 / $5,495.41 / $13,489.63
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $32.36 / $33.11
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,882.50 / $16,218.10 / $22,908.68
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$831.76 / $2,884.03 / $13,489.63
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$776.25 / $5,370.32 / $13,489.63
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,570.40 / $11,748.98 / $51,286.14
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$588.84 / $5,495.41 / $12,589.25