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Maryland 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 $3,020 · 10th–90th $214–$6,9180%20%10th90th$3,020Professionalmedian $741 · 10th–90th $204–$5,3700%10%10th90th$741$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
$213.80 / $3,630.78 / $6,918.31
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$204.17 / $1,000.00 / $5,248.07
CareFirst
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$218.78 / $245.47 / $338.84
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$512.86 / $512.86 / $645.65
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$223.87 / $707.95 / $6,760.83
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,019.95 / $3,630.78 / $6,760.83
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$36.31 / $40.74 / $3,715.35
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$208.93 / $2,454.71 / $6,918.31
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,884.03 / $3,630.78 / $5,011.87