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Nationwide rates for HCPCS G0415

Open treatment of posterior pelvic bone fracture and/or dislocation, for fracture patterns which disrupt the pelvic ring, unilateral or bilateral, includes internal fixation, when performed (includes ilium, sacroiliac joint and/or sacrum)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,445.44 / $5,623.41 / $13,182.57
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,801.89 / $9,332.54 / $17,378.01
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$891.25 / $3,467.37 / $9,549.93
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,884.03 / $8,511.38 / $17,782.79