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Louisiana 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
$379.00 / $1,300.00 / $4,280.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$215.75 / $1,243.95 / $5,503.36
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,297.10 / $9,715.93 / $13,647.45
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$276.23 / $457.01 / $6,505.67
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$185.46 / $260.64 / $260.64
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$400.00 / $400.00 / $400.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$241.63 / $554.87 / $5,891.95
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$194.00 / $543.00 / $1,560.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,121.82 / $4,602.55 / $7,511.14