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New York 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
$1,819.00 / $5,630.00 / $11,880.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,283.00 / $5,434.00 / $12,168.00
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,025.36 / $1,025.36 / $37,499.62
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$822.70 / $822.70 / $822.70
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$332.00 / $836.00 / $1,936.78
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$680.38 / $680.38 / $680.38
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$555.00 / $597.00 / $822.70
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,341.00 / $6,700.00 / $16,782.00
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$779.71 / $779.71 / $779.71