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Hawaii 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
$2,528.00 / $6,084.00 / $10,759.24
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.85 / $539.73 / $9,122.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,005.68 / $7,359.90 / $8,831.87
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$751.90 / $889.12 / $9,792.98
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$509.47 / $6,241.20 / $7,359.90
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,028.00 / $3,028.00 / $3,028.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,005.68 / $7,359.90 / $11,566.80
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$625.87 / $7,208.00 / $9,764.00