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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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$473.92 / $6,794.64 / $9,836.12
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47,000.00 / $81,499.99 / $94,999.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$745.58 / $820.14 / $8,810.83
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$745.58 / $745.58 / $745.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$573.69 / $849.72 / $11,876.41
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$367.91 / $745.58 / $5,181.18
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$640.25 / $5,779.97 / $12,077.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9,605.35 / $11,205.53 / $13,280.63