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Louisiana 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
$678.00 / $2,726.00 / $7,716.07
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$486.79 / $2,491.34 / $9,825.94
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,898.80 / $10,406.20 / $14,756.27
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$596.33 / $999.26 / $11,124.34
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$415.68 / $6,298.85 / $6,298.85
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$400.00 / $400.00 / $400.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$527.03 / $1,212.06 / $10,517.71
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,200.00 / $6,034.00 / $13,506.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,437.70 / $7,672.53 / $12,951.30