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Maine 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
$4,586.04 / $4,586.04 / $4,586.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$473.92 / $753.93 / $8,629.41
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$542.42 / $638.15 / $901.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$591.63 / $1,029.11 / $12,342.92
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$587.39 / $1,787.43 / $10,601.84
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,586.04 / $4,586.04 / $4,586.04
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$491.81 / $753.93 / $8,491.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,650.17 / $9,258.76 / $12,002.10