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Iowa 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
$5,012.00 / $6,298.62 / $10,255.42
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,152.52 / $1,284.29 / $3,156.78
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,310.00 / $2,440.15 / $8,689.00
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,626.01 / $2,020.85 / $3,123.82
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,220.00 / $9,259.00 / $14,242.22