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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)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$214.22 / $3,236.98 / $6,987.73
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.34 / $1,140.32 / $5,191.70
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$232.32 / $235.50 / $299.08
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$507.00 / $507.00 / $641.21
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$219.63 / $683.46 / $6,843.12
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,832.36 / $3,692.38 / $6,437.76
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.00 / $36.00 / $41.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,238.48 / $5,106.85 / $7,953.15
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,862.31 / $3,291.66 / $4,046.23