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Utah 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
$341.27 / $3,294.00 / $6,012.19
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$211.32 / $2,373.01 / $6,239.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$266.12 / $2,478.29 / $6,027.33
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,884.96 / $2,374.26 / $2,925.34
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$357.00 / $919.14 / $11,246.04
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,078.00 / $1,556.00 / $22,387.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,869.38 / $4,222.79 / $6,546.79