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Georgia 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
$4,265.80 / $6,760.83 / $10,964.78
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,230.27 / $3,162.28 / $6,025.60
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$501.19 / $1,584.89 / $2,511.89
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$158.49 / $158.49 / $158.49
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$954.99 / $1,000.00 / $3,715.35
Kaiser Permanente
Facility/Professional
Professional
Modifier
AS
Low / Median / High Price
$28.18 / $28.18 / $28.18
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,995.26 / $7,762.47 / $17,378.01