go back

Connecticut 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
$2,074.00 / $4,458.68 / $8,031.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.34 / $2,373.01 / $6,640.12
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,678.00 / $13,347.00 / $25,477.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$224.42 / $489.99 / $3,984.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$843.00 / $843.00 / $843.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$356.78 / $615.19 / $8,608.09
ConnectiCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,005.87 / $1,643.00 / $1,677.00
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,369.75 / $5,516.75 / $6,766.98
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$989.87 / $989.87 / $989.87
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,380.00 / $3,075.00 / $6,664.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,388.61 / $6,609.44 / $11,307.61