| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $501.19 | $501.19 | $501.19 | |
MountainHealth Co-op
| Facility | $489.78 | $537.03 | $602.56 | |
Providence
| Facility | $281.84 | $389.05 | $707.95 |
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 | $501.19 | $501.19 | $501.19 | |
MountainHealth Co-op
| Facility | $489.78 | $537.03 | $602.56 | |
Providence
| Facility | $281.84 | $389.05 | $707.95 |