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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
$134.90 / $134.90 / $2,238.72
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.15 / $134.90 / $331.13
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$363.08 / $870.96 / $2,290.87
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.80 / $316.23 / $478.63
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$346.74 / $489.78 / $1,174.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.42 / $398.11 / $588.84
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$380.19 / $467.74 / $912.01
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.09 / $331.13 / $524.81
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$134.90 / $269.15 / $1,737.80
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.89 / $229.09 / $707.95
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$602.56 / $1,819.70 / $3,467.37
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.82 / $229.09 / $457.09