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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
$309.03 / $4,897.79 / $16,595.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.17 / $549.54 / $5,248.07
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.53 / $309.03 / $2,951.21
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,918.31 / $18,620.87 / $34,673.69
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.55 / $446.68 / $3,890.45
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$371.54 / $371.54 / $891.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$281.84 / $549.54 / $6,918.31
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8,317.64 / $8,317.64 / $8,317.64
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$223.87 / $2,691.53 / $6,309.57
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $33.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$354.81 / $1,737.80 / $22,908.68
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.98 / $2,344.23 / $6,456.54