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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
$426.58 / $2,511.89 / $8,511.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.17 / $1,584.89 / $5,754.40
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.96 / $199.53 / $2,454.71
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,096.48 / $2,951.21 / $5,623.41
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.15 / $616.60 / $5,128.61
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.88 / $549.54 / $5,370.32
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.00 / $3,715.35 / $6,165.95
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
$245.47 / $281.84 / $3,548.13
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $32.36 / $33.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$151.36 / $851.14 / $2,630.27
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.42 / $2,570.40 / $6,606.93