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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 / $177.83 / $446.68
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.54 / $144.54 / $478.63
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.33 / $186.21 / $288.40
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.83 / $173.78 / $218.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.91 / $181.97 / $524.81