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Nebraska 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
$4,404.57 / $7,943.37 / $21,899.37
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$428.43 / $2,491.34 / $9,068.08
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,619.76 / $8,706.79 / $16,841.75
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$451.81 / $1,026.82 / $10,503.41
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,266.26 / $5,266.26 / $5,266.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$895.64 / $9,784.00 / $15,869.29
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$509.40 / $5,962.90 / $15,167.94
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8,025.34 / $13,515.66 / $20,733.43
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,097.96 / $8,250.46 / $15,599.88
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,037.11 / $10,694.58 / $17,721.50
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,777.00 / $8,220.00 / $9,696.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8,025.34 / $13,272.68 / $17,285.34