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Virginia 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
$544.78 / $6,827.70 / $14,112.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$473.92 / $1,482.21 / $8,305.41
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,160.00 / $18,351.00 / $19,756.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$442.47 / $557.27 / $930.30
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$504.25 / $524.23 / $12,325.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$640.00 / $640.00 / $805.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$501.48 / $1,303.46 / $11,459.55
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,220.01 / $6,755.31 / $7,983.55
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$544.78 / $5,093.08 / $10,933.44
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,385.00 / $8,945.00 / $13,622.17
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$482.54 / $661.41 / $8,382.29
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,412.46 / $9,111.20 / $14,142.10
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,408.00 / $13,296.00 / $26,537.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,387.32 / $9,105.12 / $14,209.06