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Maine 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
Professional
Modifier
Low / Median / High Price
$107.15 / $112.03 / $161.59
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.40 / $173.93 / $254.36
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$137.06 / $193.91 / $291.69
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$166.12 / $192.20 / $294.85
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.79 / $119.73 / $161.59
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.60 / $165.44 / $268.89