| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $435.91 | $3,038.00 | $4,387.00 | |
Regence BlueShield
| Facility | $340.97 | $447.13 | $651.60 | |
United
| Facility | $1,078.00 | $1,556.00 | $4,495.00 |
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 | $435.91 | $3,038.00 | $4,387.00 | |
Regence BlueShield
| Facility | $340.97 | $447.13 | $651.60 | |
United
| Facility | $1,078.00 | $1,556.00 | $4,495.00 |