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Missouri 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 $1,259–$13,1830%10%10th90th$5,888Professionalmedian $1,148 · 10th–90th $479–$10,2330%10%10th90th$1,148$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
$660.69 / $5,754.40 / $9,549.93
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$478.63 / $1,778.28 / $10,232.93
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
$2,238.72 / $7,244.36 / $14,454.40
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$467.74 / $588.84 / $1,023.29
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$467.74 / $5,495.41 / $8,317.64
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$537.03 / $1,202.26 / $11,748.98
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$467.74 / $4,677.35 / $10,715.19
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6,165.95 / $10,000.00 / $52,480.75
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,884.03 / $5,248.07 / $15,135.61
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$501.19 / $5,128.61 / $10,000.00