go back

Massachusetts 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 $3,631 · 10th–90th $589–$8,5110%5%10%10th90th$3,631Professionalmedian $2,344 · 10th–90th $501–$13,4900%5%10th90th$2,344$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
$954.99 / $4,168.69 / $8,511.38
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$489.78 / $1,445.44 / $9,772.37
AllWays Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$56.23 / $4,677.35 / $19,054.61
AllWays Health Partners
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$549.54 / $4,677.35 / $17,378.01
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$588.84 / $588.84 / $1,348.96
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$588.84 / $3,467.37 / $15,488.17
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$588.84 / $1,778.28 / $15,135.61
Fallon Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$457.09 / $645.65 / $3,630.78
Fallon Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6,760.83 / $8,128.31 / $11,748.98
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,090.30 / $6,918.31 / $19,498.45
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$549.54 / $5,888.44 / $14,791.08
Health New England
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,715.35 / $6,456.54 / $9,120.11
Health New England
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,584.89 / $1,584.89 / $1,584.89
Mass General Brigham
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$56.23 / $4,677.35 / $19,054.61
Mass General Brigham
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$549.54 / $4,677.35 / $17,378.01
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,884.03 / $7,244.36 / $19,498.45
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$575.44 / $5,248.07 / $15,488.17