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Oklahoma 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
$882.00 / $3,683.00 / $7,500.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.15 / $139.57 / $142.11
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,182.21 / $1,878.12 / $2,967.41
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.65 / $168.95 / $197.81
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$207.85 / $207.85 / $207.85
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.04 / $161.56 / $203.26
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$120.81 / $175.17 / $1,883.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$110.23 / $139.44 / $238.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$139.00 / $610.00 / $1,883.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$106.25 / $134.00 / $196.45