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Maryland 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
$0.98 / $512.86 / $7,079.46
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$457.09 / $2,630.27 / $10,964.78
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$457.09 / $512.86 / $645.65
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$512.86 / $645.65 / $3,311.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489.78 / $1,548.82 / $11,748.98
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,754.40 / $7,079.46 / $12,589.25
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$446.68 / $1,000.00 / $3,548.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$446.68 / $4,365.16 / $12,022.64
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,623.41 / $7,079.46 / $9,549.93