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Missouri 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
$818.00 / $3,131.00 / $8,000.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.15 / $134.97 / $261.85
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.12 / $60.12 / $60.12
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$821.00 / $1,963.00 / $4,852.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$106.10 / $131.72 / $240.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$133.33 / $172.00 / $281.42
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$113.01 / $184.91 / $760.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.62 / $171.75 / $987.68
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$245.00 / $815.00 / $1,351.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$119.53 / $166.68 / $273.74