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West Virginia 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
$925.88 / $1,306.98 / $3,050.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,551.82 / $1,551.82 / $1,551.82