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Missouri 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
$329.00 / $2,971.19 / $12,154.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$198.52 / $1,140.32 / $4,424.89
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$261.76 / $261.76 / $301.91
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,114.00 / $6,000.00 / $14,488.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$196.17 / $250.37 / $431.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$247.52 / $638.75 / $6,541.12
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$201.30 / $2,303.25 / $6,454.71
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,702.86 / $5,747.23 / $31,785.96
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$245.00 / $1,289.00 / $19,684.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,357.17 / $4,801.10 / $7,418.75