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New Jersey 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
$130.38 / $4,540.00 / $10,202.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.16 / $124.28 / $199.56
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$129.15 / $177.98 / $361.17
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.40 / $171.28 / $211.87
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$486.18 / $527.73 / $663.08
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$116.54 / $154.13 / $283.04
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,529.00 / $3,352.00 / $10,536.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.05 / $149.11 / $371.23