| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $121.72 | $507.00 | $641.21 | |
Kaiser Permanente
| Professional | $331.22 | $429.67 | $612.36 | |
United
| Facility | $36.00 | $36.00 | $41.00 |
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 |
|---|---|---|---|---|---|
Cigna
| Facility | $121.72 | $507.00 | $641.21 | |
Kaiser Permanente
| Professional | $331.22 | $429.67 | $612.36 | |
United
| Facility | $36.00 | $36.00 | $41.00 |