go back

Texas 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
$916.00 / $3,970.00 / $12,826.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$442.23 / $4,800.72 / $8,629.41
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$435.87 / $593.04 / $617.66
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,625.08 / $9,451.48 / $19,343.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$437.18 / $4,337.59 / $7,413.53
Baylor Scott & White
Facility/Professional
Facility
Modifier
Low / Median / High Price
$460.43 / $6,143.97 / $9,654.81
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$415.68 / $6,298.85 / $6,298.85
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$805.44 / $805.44 / $805.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$519.95 / $1,071.18 / $11,281.88
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $55.00 / $9,764.58
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20,132.93 / $20,733.43 / $52,335.24
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$459.02 / $4,174.27 / $9,659.03
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$599.22 / $5,478.00 / $9,250.28
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$510.38 / $1,062.70 / $12,155.51
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$459.02 / $2,348.83 / $9,659.03
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$530.98 / $1,216.68 / $11,628.87
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,600.00 / $7,123.00 / $19,320.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,437.70 / $7,416.30 / $11,789.36
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,422.88 / $4,910.89 / $7,038.04