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Oklahoma 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
$1,000.00 / $5,915.00 / $14,100.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$499.35 / $4,532.62 / $7,280.65
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$535.12 / $535.12 / $535.12
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27,398.61 / $43,526.71 / $68,269.22
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$459.90 / $6,028.40 / $8,277.85
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,659.86 / $5,659.86 / $5,659.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$554.80 / $849.98 / $9,589.29
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$499.35 / $5,207.00 / $11,615.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,777.55 / $7,816.69 / $20,733.43
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,851.00 / $7,307.00 / $14,139.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,437.70 / $7,519.18 / $10,875.39