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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
$831.76 / $2,691.53 / $8,317.64
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20,417.38 / $21,379.62 / $57,543.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$478.63 / $478.63 / $478.63
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$47.86 / $47.86 / $47.86
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$660.69 / $2,344.23 / $8,317.64
Oscar Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$436.52 / $436.52 / $562.34
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.51 / $389.05 / $478.63
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$144.54 / $645.65 / $3,890.45