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 | $3,311.31 | $5,888.44 | $10,964.78 | |
AmeriHealth
| Facility | $1,698.24 | $1,698.24 | $1,698.24 | |
Horizon BCBS
| Facility | $489.78 | $776.25 | $1,230.27 | |
United
| Facility | $1,318.26 | $2,884.03 | $7,762.47 |