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Minnesota 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
$1,314.20 / $1,314.20 / $7,859.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,088.76 / $5,302.71 / $10,792.37
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,239.36 / $4,596.18 / $11,056.75
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,944.87 / $4,202.02 / $8,706.10
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,385.33 / $2,329.87 / $4,030.05
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,457.00 / $9,370.00 / $12,774.00