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Arkansas rates for HCPCS 22515

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; each additional thoracic or lumbar vertebral body (List separately in addition to code for primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$386.97 / $1,313.00 / $5,986.18
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$206.61 / $2,629.83 / $4,922.91
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,716.21 / $3,716.21 / $3,716.21
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$226.81 / $333.55 / $3,939.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$285.26 / $403.84 / $6,596.89
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$130.00 / $328.00 / $858.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,314.68 / $5,043.20 / $6,942.08