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Michigan 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 $2,042 · 10th–90th $282–$4,8980%20%10th90th$2,042Professionalmedian $1,122 · 10th–90th $204–$5,6230%10%20%10th90th$1,122$0.5$5.0$50.0$500.0$5.0K

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
$281.84 / $2,041.74 / $4,897.79
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$204.17 / $2,398.83 / $5,623.41
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$186.21 / $186.21 / $2,454.71
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$323.59 / $323.59 / $323.59
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$74.13 / $323.59 / $4,365.16
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$208.93 / $707.95 / $5,623.41
Health Alliance Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,041.74 / $4,897.79 / $11,220.18
Health Alliance Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$223.87 / $3,548.13 / $6,309.57
Priority Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$204.17 / $398.11 / $5,623.41
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$467.74 / $1,380.38 / $19,054.61
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$234.42 / $2,187.76 / $5,623.41