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West 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
$129.63 / $197.79 / $1,400.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.15 / $139.47 / $210.14
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$138.56 / $153.16 / $166.89
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.27 / $148.34 / $148.34
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$150.62 / $150.62 / $150.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$127.67 / $187.29 / $324.99
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.47 / $194.47 / $194.47
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.75 / $145.91 / $211.30