go back

Wisconsin 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
$257.04 / $537.03 / $14,454.40
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,011.87 / $7,943.28 / $12,589.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$660.69 / $776.25 / $1,230.27
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$257.04 / $537.03 / $5,495.41
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$275.42 / $588.84 / $1,778.28
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$389.05 / $602.56 / $891.25
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$676.08 / $1,995.26 / $1,995.26
Quartz
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$67.61 / $67.61 / $169.82
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,023.29 / $1,584.89 / $2,137.96