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Arkansas 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
$143.16 / $1,083.00 / $3,109.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.79 / $121.68 / $168.70
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$210.54 / $210.54 / $252.65
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$140.84 / $176.05 / $186.41
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$139.99 / $195.05 / $241.15
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$130.00 / $328.00 / $768.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.30 / $152.86 / $248.71