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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
$1,513.56 / $1,548.82 / $3,981.07
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.65 / $165.96 / $363.08
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.23 / $134.90 / $223.87
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.36 / $194.98 / $269.15
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$436.52 / $1,412.54 / $6,456.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.82 / $165.96 / $295.12