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Louisiana 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
$891.25 / $3,090.30 / $7,762.47
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489.78 / $1,258.93 / $9,772.37
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$630.96 / $630.96 / $5,888.44
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,888.44 / $10,471.29 / $14,454.40
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.54 / $1,071.52 / $8,511.38
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.81 / $6,606.93 / $6,606.93
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$398.11 / $398.11 / $398.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562.34 / $1,318.26 / $10,471.29
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,202.26 / $6,456.54 / $13,489.63
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478.63 / $5,128.61 / $10,715.19