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Kentucky 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 $4,898 · 10th–90th $331–$12,3030%5%10th90th$4,898Professionalmedian $417 · 10th–90th $204–$5,2480%10%10th90th$417$50.0$200.0$1.0K$5.0K$20.0K

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
$281.84 / $2,951.21 / $5,248.07
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$204.17 / $2,344.23 / $5,370.32
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$245.47 / $245.47 / $245.47
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,801.89 / $6,606.93 / $13,803.84
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$213.80 / $269.15 / $309.03
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$190.55 / $269.15 / $354.81
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$218.78 / $269.15 / $331.13
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$34.67 / $371.54 / $371.54
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$257.04 / $3,630.78 / $17,378.01
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $3,235.94
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$58.88 / $933.25 / $7,585.78
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$229.09 / $2,454.71 / $6,456.54