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Michigan 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
$4,897.79 / $4,897.79 / $5,754.40
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$302.00 / $302.00 / $1,513.56
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,122.02 / $4,897.79 / $6,918.31
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,011.87 / $10,000.00 / $19,054.61