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Montana 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

Facilitymedian $8,318 · 10th–90th $813–$12,0230%20%10th90th$8,318Professionalmedian $1,585 · 10th–90th $468–$10,9650%10%10th90th$1,585$100.0$500.0$2.0K$10.0K$50.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$467.74 / $1,584.89 / $10,964.78
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$46,773.51 / $75,857.76 / $95,499.26
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$741.31 / $741.31 / $8,912.51
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$741.31 / $741.31 / $741.31
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$630.96 / $851.14 / $9,772.37
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$812.83 / $9,549.93 / $11,748.98
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$812.83 / $9,549.93 / $11,748.98
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$467.74 / $4,677.35 / $11,481.54
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$79.43 / $933.25 / $12,022.64
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7,244.36 / $7,244.36 / $14,791.08
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$724.44 / $5,754.40 / $12,589.25