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Texas 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
$488.00 / $2,181.00 / $7,513.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$206.30 / $347.18 / $805.88
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.00 / $277.49 / $284.29
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$357.41 / $357.41 / $357.41
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $55.00 / $1,806.85
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$284.16 / $349.17 / $654.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$287.67 / $355.22 / $661.15
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$161.00 / $950.00 / $2,405.00