go back

Rhode Island 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
$1,518.41 / $1,543.03 / $3,955.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$111.40 / $135.36 / $174.72
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$115.29 / $159.56 / $225.71
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$166.21 / $195.56 / $264.16
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$540.00 / $1,401.00 / $4,915.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$110.87 / $169.18 / $276.02