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New Mexico 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 $8,710 · 10th–90th $724–$38,9050%20%10th90th$8,710Professionalmedian $4,786 · 10th–90th $490–$9,7720%10%10th90th$4,786$50.0$200.0$1.0K$5.0K$20.0K$100.0K

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
$724.44 / $8,511.38 / $12,022.64
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$467.74 / $4,786.30 / $9,332.54
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13,803.84 / $33,884.42 / $54,954.09
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$616.60 / $6,309.57 / $8,709.64
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$549.54 / $2,041.74 / $11,481.54
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $4,570.88
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$489.78 / $4,786.30 / $11,748.98
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$549.54 / $1,348.96 / $11,481.54
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,023.29 / $14,791.08 / $31,622.78
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$645.65 / $5,495.41 / $12,589.25