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Missouri rates for HCPCS 22523

Percutaneous vertebral augmentation, including cavity creation (fracture reduction and bone biopsy included when performed) using mechanical device, 1 vertebral body, unilateral or bilateral cannulation (eg, kyphoplasty); thoracic

Insurance Carrier
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$960.85 / $2,448.03 / $28,721.06
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $835.72 / $1,971.50
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,578.44 / $28,868.39 / $28,868.39