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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)

Facilitymedian $2,951 · 10th–90th $214–$9,7720%5%10%10th90th$2,951Professionalmedian $2,630 · 10th–90th $214–$6,9180%10%10th90th$2,630$1.0$5.0$20.0$100.0$500.0$2.0K$10.0K

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 / $3,981.07 / $10,000.00
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$208.93 / $1,479.11 / $5,754.40
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$281.84 / $281.84 / $281.84
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$281.84 / $3,235.94 / $10,232.93
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$602.56 / $602.56 / $602.56
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$263.03 / $2,137.96 / $7,413.10
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8,317.64 / $8,317.64 / $8,317.64
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$213.80 / $2,344.23 / $5,248.07
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4,570.88 / $5,370.32 / $6,309.57
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$363.08 / $812.83 / $2,344.23
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$213.80 / $2,454.71 / $6,918.31
Wellcare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$56.23 / $18,197.01 / $18,197.01
Wellcare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$31,622.78 / $31,622.78 / $31,622.78