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Missouri 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
$1,760.00 / $5,389.00 / $12,154.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19,155.41 / $36,218.54 / $72,305.78
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,329.85 / $1,954.55 / $5,048.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,209.00 / $4,432.00 / $12,989.00