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Florida 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)

Facilitymedian $3,548 · 10th–90th $617–$13,4900%5%10th90th$3,548Professionalmedian $1,995 · 10th–90th $204–$5,2480%10%20%10th90th$1,995$1.0$10.0$100.0$1.0K$10.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$645.65 / $3,890.45 / $13,182.57
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$204.17 / $1,584.89 / $5,248.07
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$229.09 / $281.84 / $331.13
AvMed
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,584.89 / $6,309.57 / $12,882.50
AvMed
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$208.93 / $2,454.71 / $3,311.31
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$323.59 / $371.54 / $371.54
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$218.78 / $588.84 / $6,165.95
Florida Blue
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,548.82 / $2,884.03 / $6,760.83
Florida Blue
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,995.26 / $2,754.23 / $4,677.35
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $165.96 / $3,801.89
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$331.13 / $1,548.82 / $21,379.62
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$194.98 / $2,137.96 / $5,888.44
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$165.96 / $2,089.30 / $3,019.95