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Alaska 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
$9,285.00 / $10,900.00 / $17,695.00
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,235.55 / $2,365.90 / $3,312.26
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,235.55 / $2,365.90 / $3,312.26