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Idaho 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
$1,407.00 / $4,500.00 / $7,045.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.15 / $172.12 / $324.04
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$154.78 / $154.78 / $155.22
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$145.30 / $193.74 / $230.06
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$118.72 / $220.31 / $326.77
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$215.09 / $234.65 / $311.45
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $184.02 / $231.50
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$425.11 / $563.48 / $714.51
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$195.33 / $269.27 / $311.45
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$150.00 / $1,800.00 / $9,193.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$127.30 / $177.07 / $257.60