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Virginia 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
$252.29 / $4,390.00 / $9,475.46
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$212.76 / $2,004.00 / $4,749.34
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,160.00 / $18,351.00 / $19,756.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$201.27 / $253.49 / $423.17
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$235.50 / $236.72 / $916.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$369.23 / $369.23 / $640.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.88 / $601.74 / $6,782.70
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,676.31 / $3,463.46 / $4,093.18
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$252.29 / $2,610.52 / $6,329.52
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,785.00 / $5,459.00 / $7,031.58
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$219.15 / $299.99 / $982.00
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,773.82 / $5,085.92 / $7,913.09
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$231.00 / $1,045.00 / $2,375.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,016.51 / $5,106.85 / $7,995.97