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 | $326.99 | $4,540.00 | $10,202.00 | |
AmeriHealth
| Facility | $1,712.97 | $1,712.97 | $1,712.97 | |
Horizon BCBS
| Facility | $470.65 | $470.65 | $583.20 | |
United
| Facility | $1,529.00 | $3,352.00 | $10,536.00 |