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New Jersey 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 $4,467–$12,3030%10%10th90th$8,318Professionalmedian $4,786 · 10th–90th $457–$13,4900%5%10%10th90th$4,786$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
Facility
Modifier
Typical Low / Median / Typical High
$4,466.84 / $8,317.64 / $12,022.64
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$457.09 / $4,786.30 / $12,302.69
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10,964.78 / $10,964.78 / $10,964.78
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$512.86 / $1,737.80 / $16,595.87
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5,128.61 / $7,244.36 / $10,000.00
Horizon BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14,791.08 / $22,908.68 / $36,307.81
Horizon BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$426.58 / $6,165.95 / $18,197.01
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,570.88 / $9,772.37 / $18,620.87
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$416.87 / $4,168.69 / $14,454.40