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North Carolina 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
$344.54 / $2,461.12 / $7,362.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$212.75 / $2,373.01 / $5,546.30
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$295.38 / $3,249.50 / $10,639.61
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$606.10 / $606.10 / $606.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$280.55 / $2,131.08 / $8,192.03
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$213.24 / $2,976.05 / $5,868.02
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,524.00 / $5,371.00 / $5,868.02
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,715.30 / $3,715.30 / $3,715.30
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$117.00 / $896.00 / $2,355.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,238.48 / $5,325.74 / $9,184.82
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $4,615.14 / $4,615.14
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10,357.03 / $10,357.03 / $31,785.96