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Indiana 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 $16,218 · 10th–90th $3,467–$35,4810%10%10th90th$16,218Professionalmedian $1,072 · 10th–90th $468–$9,1200%10%10th90th$1,072$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
$724.44 / $8,128.31 / $16,218.10
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$467.74 / $1,348.96 / $9,120.11
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$398.11 / $398.11 / $549.54
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7,413.10 / $28,183.83 / $41,686.94
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$501.19 / $588.84 / $954.99
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$457.09 / $501.19 / $562.34
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,677.35 / $4,677.35 / $5,623.41
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$524.81 / $1,122.02 / $11,220.18
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,011.87 / $11,220.18 / $17,782.79
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$478.63 / $4,786.30 / $10,964.78