go back

Massachusetts 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
$988.00 / $2,249.00 / $4,469.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.34 / $2,373.01 / $5,840.99
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$236.38 / $941.10 / $4,615.14
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$237.69 / $5,108.91 / $12,671.22
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$244.60 / $314.31 / $623.73
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,359.71 / $1,359.71 / $19,219.16
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$273.85 / $894.93 / $8,923.08
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$209.84 / $315.27 / $6,679.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,220.02 / $3,938.52 / $5,547.66
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$285.54 / $1,682.02 / $7,451.35
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,319.89 / $3,863.50 / $9,944.73
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$312.91 / $625.82 / $989.87
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $1,818.00 / $7,231.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,497.68 / $7,752.32 / $31,785.96
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$627.00 / $1,818.00 / $7,231.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,809.98 / $6,606.12 / $10,908.13