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; with manipulation, requiring more than local anesthesia (ie, general anesthesia, moderate sedation, spinal/epidural)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $270.00 | $3,261.00 | $11,481.00 | |
Cigna
| Facility | $126.73 | $128.77 | $323.00 | |
Florida Blue
| Facility | $1,438.00 | $2,406.00 | $4,309.00 | |
United
| Facility | $366.00 | $1,950.00 | $5,107.00 |