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Nebraska 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
Facility
Modifier
Low / Median / High Price
$1,023.29 / $7,943.28 / $13,182.57
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489.78 / $5,370.32 / $15,135.61
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13,489.63 / $13,489.63 / $13,489.63
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,606.93 / $8,709.64 / $16,982.44
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562.34 / $4,570.88 / $10,471.29
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,495.41 / $5,495.41 / $5,495.41
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$954.99 / $7,079.46 / $16,218.10
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$602.56 / $8,128.31 / $11,220.18
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,244.36 / $13,182.57 / $20,892.96
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,122.02 / $10,471.29 / $18,197.01
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,495.41 / $5,495.41 / $5,495.41
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,096.48 / $1,737.80 / $18,197.01
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,918.31 / $8,511.38 / $10,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$630.96 / $6,309.57 / $16,218.10