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Washington, DC 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
$1,017.00 / $2,080.00 / $4,100.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$212.75 / $558.14 / $4,421.85
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$235.50 / $236.72 / $2,500.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$219.63 / $600.04 / $8,951.62
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$482.38 / $6,914.62 / $6,914.62
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$165.00 / $442.00 / $5,940.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,702.90 / $7,759.05 / $10,347.81