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Washington 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)

Facilitymedian $4,786 · 10th–90th $269–$10,4710%10%10th90th$4,786Professionalmedian $2,399 · 10th–90th $214–$6,9180%10%10th90th$2,399$1.0$5.0$20.0$100.0$500.0$2.0K$10.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$398.11 / $5,623.41 / $17,782.79
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$208.93 / $2,398.83 / $6,025.60
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$416.87 / $416.87 / $416.87
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$323.59 / $707.95 / $7,413.10
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$707.95 / $758.58 / $870.96
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$269.15 / $707.95 / $8,128.31
Kaiser Permanente
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$239.88 / $676.08 / $8,128.31
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$239.88 / $676.08 / $8,511.38
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $33.11
Pacific Source
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,466.84 / $5,370.32 / $8,317.64
Premera BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,981.07 / $4,168.69 / $4,168.69
Premera BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$295.12 / $3,981.07 / $7,079.46
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$338.84 / $707.95 / $7,413.10
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$151.36 / $660.69 / $6,165.95
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$281.84 / $2,951.21 / $7,762.47
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$199.53 / $380.19 / $4,365.16