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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)

Facilitymedian $1,905 · 10th–90th $245–$4,4670%5%10%10th90th$1,905Professionalmedian $2,399 · 10th–90th $209–$7,0790%5%10%10th90th$2,399$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
$1,288.25 / $2,344.23 / $4,466.84
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$204.17 / $2,398.83 / $5,623.41
AllWays Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$56.23 / $691.83 / $7,244.36
AllWays Health Partners
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$229.09 / $2,398.83 / $9,120.11
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$245.47 / $245.47 / $575.44
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,445.44 / $1,445.44 / $20,417.38
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$257.04 / $794.33 / $8,511.38
Fallon Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$177.83 / $263.03 / $3,548.13
Fallon Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,467.37 / $4,265.80 / $6,025.60
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$741.31 / $2,041.74 / $19,498.45
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$229.09 / $1,819.70 / $7,585.78
Health New England
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,344.23 / $4,786.30 / $10,000.00
Mass General Brigham
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$56.23 / $691.83 / $7,244.36
Mass General Brigham
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$229.09 / $2,398.83 / $9,120.11
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$630.96 / $1,862.09 / $17,782.79
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$239.88 / $2,398.83 / $8,128.31