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Indiana 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
$199.82 / $2,756.58 / $5,634.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.82 / $2,339.35 / $4,421.85
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$250.37 / $9,011.00 / $22,998.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$211.39 / $250.37 / $345.51
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$192.04 / $249.65 / $3,511.57
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,448.19 / $2,937.83 / $3,672.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$230.82 / $439.31 / $5,814.31
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$933.00 / $2,252.00 / $5,520.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,238.48 / $4,550.72 / $8,226.61