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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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$707.95 / $6,309.57 / $12,589.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478.63 / $2,511.89 / $9,772.37
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$724.44 / $724.44 / $724.44
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20,417.38 / $21,379.62 / $57,543.99
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,128.61 / $7,762.47 / $12,882.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$870.96 / $870.96 / $870.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$512.86 / $1,148.15 / $11,481.54
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,918.31 / $9,772.37 / $12,022.64
Geisinger
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,047.13 / $7,585.78 / $10,000.00
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,168.69 / $16,982.44 / $34,673.69
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$512.86 / $549.54 / $1,148.15
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$758.58 / $6,025.60 / $12,022.64
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$501.19 / $2,691.53 / $13,489.63
Oscar Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,182.57 / $13,182.57 / $13,182.57
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$602.56 / $602.56 / $12,302.69
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$501.19 / $2,041.74 / $7,585.78
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478.63 / $2,041.74 / $6,025.60
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,454.71 / $5,128.61 / $22,387.21
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$501.19 / $4,168.69 / $10,715.19