go back

North Dakota 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
$127.23 / $127.23 / $8,500.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.79 / $111.41 / $134.71
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$264.98 / $291.49 / $341.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$164.31 / $328.28 / $437.27
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$127.23 / $188.75 / $247.48
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$132.81 / $219.34 / $330.14
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$132.81 / $233.62 / $330.14