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Nebraska 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
$1,324.73 / $10,431.19 / $23,483.17
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,183.05 / $10,762.95 / $20,819.02
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,236.24 / $2,163.42 / $7,423.00
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,588.74 / $2,020.85 / $3,260.29
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,777.00 / $8,220.00 / $9,696.00