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Connecticut 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
$4,090.00 / $8,031.00 / $11,356.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,678.00 / $35,579.31 / $48,414.52
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$637.87 / $637.87 / $843.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,943.00 / $10,336.00 / $17,069.00