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Wisconsin rates for HCPCS G0415

Open Treatment Of Posterior Pelvic Bone Fracture And/Or Dislocation For

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,199.46 / $1,199.46 / $14,482.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,060.00 / $8,006.00 / $18,294.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,467.51 / $4,052.06 / $6,215.96
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,199.46 / $1,474.46 / $2,707.69
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,227.67 / $1,799.19 / $14,270.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,199.46 / $1,474.46 / $2,707.69
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,707.25 / $3,285.35 / $4,729.77
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,423.00 / $7,423.00 / $7,423.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,627.00 / $12,373.00 / $15,090.00