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Indiana rates for HCPCS 27198

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
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$446.68 / $3,801.89 / $5,623.41
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,089.30 / $4,466.84 / $8,317.64
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$281.84 / $316.23 / $354.81
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$309.03 / $389.05 / $501.19
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$199.53 / $2,137.96 / $5,754.40