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 | $911.00 | $1,713.00 | $4,473.00 | |
Anthem BCBS
| Facility | $1,529.00 | $3,433.00 | $4,098.00 | |
Cigna
| Facility | $135.65 | $135.65 | $135.65 | |
Hometown Health
| Professional | $4.00 | $250.94 | $465.63 | |
Hometown Health
| Facility | $265.11 | $265.11 | $265.11 | |
United
| Facility | $200.00 | $1,427.00 | $1,998.00 |