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Alaska rates for HCPCS 27197

Closed treatment of posterior pelvic ring fracture(s), dislocation(s), diastasis or subluxation of the ilium, sacroiliac joint, and/or sacrum, with or without anterior pelvic ring fracture(s) and/or dislocation(s) of the pubic symphysis and/or superior/inferior rami, unilateral or bilateral; without manipulation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,464.00 / $6,782.00 / $13,413.92
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.15 / $210.14 / $637.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$317.79 / $411.57 / $576.59
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$124.43 / $637.30 / $892.23
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$325.89 / $391.08 / $793.91
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$446.25 / $625.60 / $759.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$124.43 / $637.30 / $892.23
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.00 / $586.25 / $759.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$311.12 / $496.72 / $724.37