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South Dakota 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
$312.52 / $312.52 / $2,290.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$375.16 / $450.18 / $687.58
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$225.63 / $577.83 / $803.06
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$374.95 / $527.90 / $621.02
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$821.00 / $821.00 / $821.00