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 | $403.51 | $2,056.00 | $4,933.00 | |
BCBS
| Facility | $340.67 | $399.85 | $541.73 | |
Health Alliance Plan
| Facility | $300.26 | $2,056.00 | $4,933.00 | |
United
| Facility | $300.00 | $1,418.00 | $2,029.00 |