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New York 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 $7,413 · 10th–90th $891–$15,4880%10%10th90th$7,413Professionalmedian $5,754 · 10th–90th $468–$13,1830%10%10th90th$5,754$50.0$200.0$1.0K$5.0K$20.0K

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
$724.44 / $6,918.31 / $12,882.50
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$457.09 / $1,412.54 / $10,964.78
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$331.13 / $331.13 / $331.13
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,897.79 / $11,481.54 / $21,877.62
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5,754.40 / $7,079.46 / $18,197.01
CDPHP
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$676.08 / $2,398.83 / $16,595.87
CDPHP
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$676.08 / $676.08 / $9,332.54
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$34.67 / $812.83 / $50,118.72
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$537.03 / $3,715.35 / $19,498.45
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$457.09 / $630.96 / $1,659.59
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6,309.57 / $9,549.93 / $13,182.57
Excellus BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,897.79 / $4,897.79 / $4,897.79
Excellus BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4,168.69 / $6,918.31 / $11,748.98
MVP Health Care
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$549.54 / $50,118.72 / $75,857.76
MVP Health Care
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7,244.36 / $9,120.11 / $14,454.40
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,454.71 / $6,309.57 / $16,982.44
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$478.63 / $6,309.57 / $19,498.45
Univera
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$380.19 / $794.33 / $1,288.25
Univera
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,230.27 / $5,888.44 / $11,220.18