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Wisconsin 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
$489.78 / $11,220.18 / $13,182.57
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489.78 / $1,862.09 / $9,772.37
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,748.98 / $16,218.10 / $27,542.29
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$724.44 / $1,380.38 / $6,760.83
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,488.17 / $18,197.01 / $28,840.32
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$812.83 / $2,398.83 / $27,542.29
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$524.81 / $6,309.57 / $12,302.69
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$912.01 / $1,698.24 / $15,135.61
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$537.03 / $6,918.31 / $15,135.61
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,244.36 / $13,182.57 / $52,480.75
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $70.79
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$891.25 / $6,456.54 / $19,054.61
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,244.36 / $13,489.63 / $19,952.62
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$912.01 / $14,454.40 / $52,480.75
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,137.96 / $19,952.62 / $36,307.81
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,912.51 / $13,803.84 / $17,782.79
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$602.56 / $5,495.41 / $23,442.29