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Tennessee 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 $4,571 · 10th–90th $1,259–$9,1200%10%20%10th90th$4,571Professionalmedian $4,467 · 10th–90th $479–$10,7150%10%10th90th$4,467$5.0$20.0$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
$1,148.15 / $2,951.21 / $8,912.51
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$467.74 / $2,041.74 / $9,772.37
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,454.71 / $6,606.93 / $9,772.37
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$630.96 / $1,445.44 / $13,182.57
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$30.20 / $30.20 / $30.20
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$588.84 / $1,348.96 / $11,481.54
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$54.95 / $20,892.96 / $20,892.96
Lucent Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$52,480.75 / $52,480.75 / $52,480.75
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,365.16 / $8,128.31 / $12,022.64
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$489.78 / $4,897.79 / $11,481.54