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Texas 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
$983.00 / $3,792.00 / $13,401.00
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.00 / $1,209.94 / $1,241.08
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,551.82 / $1,551.82 / $1,551.82
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,372.33 / $7,423.00 / $7,423.00
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,135.42 / $1,550.34 / $2,763.72
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,129.20 / $1,551.82 / $2,838.82
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,600.00 / $7,123.00 / $16,000.00