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Pennsylvania rates for HCPCS 22315

Closed treatment of vertebral fracture(s) and/or dislocation(s) requiring casting or bracing, with and including casting and/or bracing by manipulation or traction

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$918.00 / $2,679.00 / $8,017.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$701.47 / $806.11 / $1,153.14
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,058.35 / $6,182.00 / $17,094.48
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$907.47 / $941.71 / $941.71
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,333.12 / $1,333.12 / $1,333.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$743.96 / $983.51 / $1,659.14
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,085.29 / $1,476.73 / $1,874.60
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$934.00 / $2,679.00 / $8,017.00
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$730.86 / $894.30 / $2,843.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$808.50 / $808.50 / $1,847.00
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,333.12 / $1,333.12 / $1,333.12
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$755.73 / $994.07 / $1,675.67
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$688.34 / $756.20 / $865.59
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$731.74 / $819.69 / $924.03
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$912.00 / $2,391.00 / $4,789.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$756.55 / $1,067.07 / $1,763.64