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Indiana 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
$124.28 / $1,386.00 / $5,634.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.79 / $124.28 / $184.38
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.96 / $89.96 / $179.93
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$856.00 / $3,896.00 / $8,230.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$94.86 / $111.82 / $158.12
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$119.95 / $155.94 / $179.93
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$119.95 / $143.94 / $179.93
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$172.79 / $172.79 / $204.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$124.30 / $152.46 / $209.54
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$933.00 / $2,252.00 / $4,426.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$103.48 / $138.62 / $244.34