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South Dakota rates for HCPCS G0413

Percutaneous skeletal fixation of posterior pelvic bone fracture and/or dislocation, for fracture patterns which disrupt the pelvic ring, unilateral or bilateral, (includes ilium, sacroiliac joint and/or sacrum)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,026.92 / $1,026.92 / $4,338.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,266.25 / $1,681.84 / $2,767.47
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,324.36 / $1,646.04 / $2,436.30
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,322.35 / $1,788.18 / $2,094.02
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,143.00 / $3,143.00 / $3,143.00