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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
$1,017.00 / $2,080.00 / $4,100.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$111.40 / $141.62 / $342.72
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.34 / $152.80 / $1,021.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$133.63 / $241.53 / $379.23
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$148.47 / $311.37 / $311.37
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$165.00 / $442.00 / $5,940.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.06 / $259.07 / $367.85