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Illinois 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
$1,105.00 / $3,221.00 / $7,723.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,569.37 / $8,059.87 / $29,446.70
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,228.09 / $1,737.57 / $3,413.59
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,537.00 / $6,885.00 / $14,716.00