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Vermont 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
Professional
Modifier
Low / Median / High Price
$204.34 / $288.05 / $5,726.49
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$310.49 / $3,044.40 / $8,532.79
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$315.99 / $4,852.26 / $8,495.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,151.13 / $6,464.57 / $13,520.84