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Massachusetts 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
$2,570.40 / $4,073.80 / $7,585.78
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,238.72 / $4,897.79 / $12,882.50
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,230.27 / $1,995.26 / $8,511.38
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,570.40 / $6,918.31 / $15,488.17
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,570.40 / $4,897.79 / $12,882.50
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,570.40 / $6,165.95 / $14,125.38