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South 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
$310.76 / $4,751.00 / $11,281.90
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.34 / $603.51 / $4,421.85
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$360.25 / $360.25 / $360.25
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,730.28 / $18,669.81 / $34,194.62
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$210.15 / $472.52 / $4,069.02
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$369.23 / $369.23 / $890.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$279.87 / $581.54 / $6,887.61
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$248.61 / $3,306.61 / $6,677.08
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,251.71 / $3,028.40 / $4,738.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$225.00 / $1,679.00 / $18,579.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,047.98 / $4,284.17 / $7,591.91