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New Hampshire 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
$100.00 / $224.11 / $8,965.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$111.40 / $120.84 / $173.08
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,223.09 / $1,359.00 / $3,300.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$130.36 / $223.54 / $345.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$150.62 / $1,306.21 / $1,351.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$174.95 / $239.76 / $397.86
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$149.22 / $244.83 / $460.60
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,448.00 / $7,448.00 / $7,448.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$152.96 / $213.56 / $385.50
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.55 / $142.16 / $495.44