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North Carolina 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
$312.36 / $689.00 / $7,362.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$221.28 / $221.28 / $606.10
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$312.36 / $408.55 / $549.25
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$117.00 / $896.00 / $2,229.00
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $1,806.85 / $1,806.85