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Georgia 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
$2,187.76 / $4,365.16 / $7,413.10
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.20 / $151.36 / $331.13
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.65 / $123.03 / $125.89
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$758.58 / $2,089.30 / $3,548.13
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.82 / $194.98 / $251.19
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$177.83 / $223.87 / $645.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.90 / $204.17 / $331.13
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.04 / $181.97 / $1,000.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.42 / $234.42 / $234.42
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$177.83 / $1,479.11 / $2,511.89
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.15 / $169.82 / $288.40