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Wisconsin 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
$302.00 / $645.65 / $14,454.40
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,584.89 / $3,090.30 / $5,754.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$812.83 / $954.99 / $1,513.56
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$309.03 / $645.65 / $4,168.69
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$316.23 / $645.65 / $1,778.28
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$446.68 / $676.08 / $1,047.13
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$263.03 / $794.33 / $1,995.26
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$977.24 / $1,548.82 / $1,949.84