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Arizona 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
$1,170.00 / $3,437.00 / $8,010.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.25 / $2,373.01 / $5,084.45
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$882.30 / $3,588.37 / $5,502.44
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$253.32 / $303.98 / $3,407.42
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$224.02 / $606.59 / $7,016.71
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$211.32 / $2,217.00 / $5,763.66
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,483.81 / $5,036.00 / $10,782.24
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,203.00 / $1,960.00 / $5,834.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,378.23 / $4,406.35 / $7,554.00