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Massachusetts rates for HCPCS G0412

Open treatment of iliac spine(s), tuberosity avulsion, or iliac wing fracture(s), unilateral or bilateral for pelvic bone fracture patterns which do not disrupt the pelvic ring, includes internal fixation, when performed

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,528.00 / $2,894.00 / $6,107.00
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,197.15 / $3,028.00 / $13,017.00
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$724.99 / $1,173.05 / $8,090.00
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,697.00 / $5,508.58 / $14,018.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,386.00 / $5,904.00 / $13,017.00