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Vermont 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
Professional
Modifier
Low / Median / High Price
$107.15 / $149.97 / $158.47
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.53 / $170.38 / $481.61
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.44 / $198.35 / $287.14
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$132.36 / $189.02 / $287.14
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$168.16 / $180.35 / $524.28