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Idaho 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
$1,407.00 / $4,500.00 / $7,045.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$212.75 / $1,496.00 / $6,239.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$272.33 / $3,092.87 / $6,111.46
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$209.73 / $2,412.55 / $6,863.41
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$345.86 / $524.03 / $5,313.24
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $3,739.45 / $4,704.47
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$396.67 / $502.66 / $6,870.47
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$150.00 / $1,800.00 / $50,601.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,280.62 / $5,806.33 / $8,724.86