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Washington, DC 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
$141.25 / $3,162.28 / $7,762.47
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.13 / $138.04 / $331.13
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.83 / $562.34 / $1,258.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.90 / $186.21 / $380.19
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.83 / $257.04 / $309.03
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$213.80 / $549.54 / $1,548.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.33 / $169.82 / $371.54