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Montana 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
Professional
Modifier
Low / Median / High Price
$508.31 / $6,988.57 / $26,039.20
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47,000.00 / $81,499.99 / $94,999.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$799.74 / $879.72 / $8,849.74
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$799.74 / $799.74 / $799.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$615.83 / $911.99 / $11,932.69
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$393.73 / $799.74 / $5,205.37
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$687.91 / $5,808.44 / $12,141.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8,300.59 / $11,159.85 / $13,351.03