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North Carolina 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
$1,348.96 / $8,709.64 / $13,803.84
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,290.87 / $2,290.87 / $2,290.87
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,174.90 / $1,584.89 / $2,570.40
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,370.32 / $15,135.61 / $22,908.68
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,511.38 / $8,511.38 / $8,511.38