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New York 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
$429.61 / $3,516.00 / $9,038.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,689.00 / $3,373.00 / $4,707.00
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$448.37 / $1,716.00 / $6,213.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$357.41 / $357.41 / $357.41
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$282.00 / $349.55 / $841.95
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$295.72 / $295.72 / $295.72
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$357.41 / $555.00 / $597.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$964.00 / $2,826.00 / $4,851.00
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$377.26 / $377.26 / $575.33