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Minnesota 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
$134.71 / $134.71 / $2,168.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$111.40 / $134.71 / $210.57
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$306.48 / $778.05 / $2,613.48
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$228.71 / $364.25 / $473.93
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$326.63 / $463.44 / $1,114.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$243.36 / $387.67 / $575.74
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$296.94 / $423.70 / $877.85
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$220.33 / $348.43 / $527.99
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$134.97 / $251.16 / $793.62
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$136.79 / $249.81 / $512.65
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$382.00 / $1,727.00 / $2,883.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$146.09 / $274.94 / $500.53