go back

Illinois 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
$429.32 / $1,988.00 / $7,461.99
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.34 / $2,339.35 / $5,016.76
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,373.40 / $2,937.76 / $5,882.86
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$266.70 / $766.10 / $5,135.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$875.00 / $875.00 / $908.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$248.48 / $573.08 / $5,212.97
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$311.29 / $3,700.89 / $6,064.19
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$246.95 / $279.08 / $3,563.82
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $4,029.86
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$165.00 / $891.00 / $3,685.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,388.61 / $5,307.49 / $8,196.04