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Pennsylvania 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 $6,310 · 10th–90th $708–$13,8040%10%10th90th$6,310Professionalmedian $2,692 · 10th–90th $479–$9,3330%10%10th90th$2,692$10.0$50.0$200.0$1.0K$5.0K$20.0K

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
$707.95 / $6,309.57 / $12,589.25
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$467.74 / $1,862.09 / $9,332.54
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$724.44 / $724.44 / $724.44
Capital Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$20,417.38 / $21,379.62 / $57,543.99
Capital Blue Cross
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5,128.61 / $7,762.47 / $12,882.50
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$501.19 / $1,071.52 / $11,481.54
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6,918.31 / $9,772.37 / $12,022.64
Geisinger
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,047.13 / $7,413.10 / $9,772.37
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,365.16 / $19,952.62 / $54,954.09
Highmark BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$512.86 / $549.54 / $1,148.15
Martin's Point
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$660.69 / $4,897.79 / $10,000.00
Martin's Point
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$501.19 / $4,570.88 / $11,481.54
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.01 / $11,220.18 / $16,595.87
UPMC Health Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$501.19 / $2,041.74 / $5,495.41
UPMC Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$478.63 / $2,041.74 / $5,495.41
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,019.95 / $6,309.57 / $23,442.29
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$489.78 / $4,365.16 / $10,715.19