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Rhode Island 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
$1,518.41 / $1,543.03 / $3,955.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$203.99 / $771.00 / $6,640.12
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$215.27 / $1,069.28 / $4,622.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$313.42 / $455.51 / $7,562.60
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$540.00 / $1,401.00 / $4,915.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,443.66 / $5,323.26 / $8,292.35