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Alaska rates for HCPCS G0414

Open treatment of anterior pelvic bone fracture and/or dislocation for fracture patterns which disrupt the pelvic ring, unilateral or bilateral, includes internal fixation when performed (includes pubic symphysis and/or superior/inferior rami)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,344.23 / $11,220.18 / $18,197.01
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$831.76 / $1,445.44 / $2,398.83
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$831.76 / $1,202.26 / $2,691.53