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Washington 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 $9,120 · 10th–90th $692–$19,9530%10%10th90th$9,120Professionalmedian $4,786 · 10th–90th $501–$13,1830%5%10%10th90th$4,786$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
$1,023.29 / $12,589.25 / $19,952.62
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$489.78 / $4,786.30 / $12,022.64
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13,803.84 / $19,054.61 / $38,904.51
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$776.25 / $3,467.37 / $14,125.38
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$707.95 / $870.96 / $10,000.00
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$602.56 / $1,584.89 / $15,848.93
Kaiser Permanente
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$588.84 / $6,606.93 / $15,848.93
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$588.84 / $6,309.57 / $14,791.08
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $33.11
Pacific Source
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7,585.78 / $10,715.19 / $13,182.57
Premera BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6,456.54 / $7,762.47 / $8,128.31
Premera BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$691.83 / $7,762.47 / $13,803.84
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14,454.40 / $19,952.62 / $38,904.51
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$776.25 / $3,467.37 / $14,125.38
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,248.07 / $20,892.96 / $41,686.94
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$660.69 / $5,754.40 / $14,454.40
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$489.78 / $912.01 / $8,511.38