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Alaska rates for HCPCS 22514

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; lumbar

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,236.00 / $10,625.00 / $17,617.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$440.22 / $2,491.34 / $25,141.45
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,191.91 / $2,013.66 / $25,156.11
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$595.95 / $3,358.83 / $35,198.03
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,254.11 / $6,481.09 / $28,837.80
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,781.25 / $3,361.05 / $39,507.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$595.95 / $3,358.83 / $35,198.03
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,613.52 / $5,496.74 / $39,596.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15,373.14 / $26,903.00 / $33,820.91