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Tennessee 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
$452.00 / $2,258.00 / $7,602.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.34 / $1,140.32 / $4,679.76
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$249.80 / $249.80 / $249.80
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$101.00 / $145.00 / $623.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$237.30 / $732.36 / $7,130.38
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$253.94 / $678.03 / $6,887.61
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $4,615.14 / $4,615.14
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10,357.03 / $10,669.73 / $31,785.96
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$294.00 / $808.00 / $10,481.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,422.20 / $5,082.10 / $7,956.62