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Pennsylvania rates for HCPCS 22328

Open treatment and/or reduction of vertebral fracture(s) and/or dislocation(s), posterior approach, 1 fractured vertebra or dislocated segment; each additional fractured vertebra or dislocated segment (List separately in addition to code for primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$641.00 / $2,371.00 / $7,629.00
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,531.00 / $27,840.00 / $46,296.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$319.81 / $319.81 / $319.81
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$31.39 / $31.39 / $31.39
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$641.00 / $2,326.00 / $8,017.00
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$319.81 / $319.81 / $319.81
Priority Health
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$31.39 / $31.39 / $31.39
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$275.56 / $275.56 / $389.63
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$162.00 / $632.00 / $3,742.00