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North Carolina 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 $6,761 · 10th–90th $646–$14,4540%10%10th90th$6,761Professionalmedian $4,786 · 10th–90th $490–$12,5890%5%10%10th90th$4,786$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
$758.58 / $6,760.83 / $12,589.25
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$478.63 / $1,659.59 / $10,964.78
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$645.65 / $645.65 / $645.65
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6,606.93 / $6,606.93 / $6,760.83
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$676.08 / $5,888.44 / $17,378.01
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$602.56 / $602.56 / $6,309.57
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$602.56 / $1,737.80 / $12,882.50
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15,488.17 / $15,488.17 / $15,488.17
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$501.19 / $4,570.88 / $9,772.37
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8,912.51 / $10,471.29 / $12,302.69
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,623.41 / $14,454.40 / $23,442.29
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$501.19 / $4,466.84 / $12,022.64
Wellcare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$56.23 / $20,892.96 / $20,892.96
Wellcare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$52,480.75 / $52,480.75 / $52,480.75