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Pennsylvania 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
$527.54 / $2,070.00 / $7,197.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$110.42 / $130.38 / $560.00
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$191.79 / $191.79 / $191.79
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,083.51 / $1,395.00 / $12,759.45
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.90 / $184.91 / $225.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$150.62 / $150.62 / $150.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$124.43 / $157.66 / $272.38
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$157.00 / $211.79 / $271.19
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,075.22 / $1,075.22 / $1,075.22
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.97 / $135.91 / $156.99
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$594.00 / $2,266.00 / $8,017.00
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$111.40 / $152.13 / $800.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$348.80 / $540.00 / $540.00
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$150.62 / $150.62 / $150.62
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$122.25 / $159.83 / $272.38
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$128.07 / $130.30 / $130.30
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$126.87 / $130.30 / $139.02
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$162.00 / $650.00 / $3,742.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.08 / $154.61 / $253.05