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Tennessee 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
$348.26 / $2,258.00 / $7,602.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.16 / $130.56 / $244.39
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.22 / $188.45 / $199.58
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$764.00 / $1,480.00 / $2,244.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$121.57 / $165.86 / $264.36
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$127.82 / $174.82 / $264.04
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $341.25 / $731.30
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$959.60 / $987.68 / $1,136.93
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$294.00 / $808.00 / $2,577.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$108.90 / $146.29 / $274.29