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Wisconsin rates for HCPCS 22521

Percutaneous Vertebroplasty Lumbar W/Wo Bne Bx

Facilitymedian $3,802 · 10th–90th $661–$8,7100%10%10th90th$3,802Professionalmedian $3,981 · 10th–90th $832–$10,0000%10%10th90th$3,981$100.0$200.0$500.0$1.0K$2.0K$5.0K$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. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,754.40 / $6,760.83 / $10,715.19
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$831.76 / $3,090.30 / $4,570.88
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$602.56 / $1,318.26 / $4,168.69
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$602.56 / $1,318.26 / $4,168.69
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9,120.11 / $10,000.00 / $10,000.00
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$58.88 / $58.88 / $58.88
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,623.41 / $8,317.64 / $8,317.64
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6,165.95 / $10,000.00 / $10,000.00