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New Hampshire 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
$100.00 / $354.98 / $8,965.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$203.99 / $2,460.79 / $5,603.37
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,239.50 / $10,016.29 / $19,042.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$209.61 / $359.43 / $573.42
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$369.23 / $369.23 / $369.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$303.67 / $898.41 / $8,496.56
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$256.39 / $853.72 / $7,288.40
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,448.00 / $7,448.00 / $7,448.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,584.41 / $6,248.29 / $10,951.87
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$187.38 / $3,046.68 / $4,989.06