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Nebraska 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
$1,506.15 / $5,463.36 / $13,841.56
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,350.61 / $4,406.97 / $8,524.51
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$193.40 / $193.40 / $193.40
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$287.95 / $489.52 / $1,476.60
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$201.84 / $577.83 / $899.34
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,031.00 / $1,775.00 / $4,406.00