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Michigan 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 $5,888 · 10th–90th $708–$15,1360%10%20%10th90th$5,888Professionalmedian $1,288 · 10th–90th $490–$9,7720%10%10th90th$1,288$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
$676.08 / $5,754.40 / $15,135.61
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$489.78 / $1,862.09 / $9,772.37
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$446.68 / $446.68 / $660.69
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$758.58 / $758.58 / $758.58
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$724.44 / $758.58 / $8,511.38
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$489.78 / $1,659.59 / $9,332.54
Health Alliance Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$707.95 / $7,079.46 / $18,197.01
Health Alliance Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$537.03 / $6,760.83 / $10,715.19
Priority Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$478.63 / $3,162.28 / $9,332.54
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,754.40 / $9,772.37 / $20,417.38
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$537.03 / $4,265.80 / $9,549.93