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Idaho 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
$1,221.08 / $1,221.08 / $4,657.00
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,129.20 / $1,259.44 / $1,508.28
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,703.82 / $18,472.14 / $30,479.03
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,600.00 / $11,800.00 / $29,092.00