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Missouri 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
$1,760.00 / $5,752.00 / $13,349.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$432.92 / $2,491.34 / $8,137.55
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$656.78 / $656.78 / $656.78
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,114.00 / $6,000.00 / $14,488.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$435.30 / $554.17 / $950.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$524.99 / $1,322.19 / $11,825.59
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$453.22 / $4,463.00 / $10,773.59
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,495.84 / $9,817.58 / $52,335.24
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,209.00 / $6,064.85 / $19,684.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,135.42 / $8,496.40 / $12,545.42