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North Dakota 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
$1,352.40 / $1,352.40 / $9,500.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,352.40 / $1,916.33 / $2,299.59