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Virginia 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
$139.47 / $3,633.00 / $8,920.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.16 / $139.47 / $243.42
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,735.00 / $2,390.00 / $2,954.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$121.45 / $158.77 / $262.49
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.34 / $142.46 / $940.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$150.62 / $150.62 / $640.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.63 / $164.25 / $285.42
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$127.01 / $163.33 / $187.97
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$130.78 / $163.18 / $236.07
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$146.00 / $168.93 / $249.00
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$127.02 / $163.66 / $612.95
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$127.02 / $163.66 / $612.95
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$231.00 / $1,045.00 / $2,364.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.24 / $163.95 / $255.42