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Minnesota 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
$977.24 / $977.24 / $8,128.31
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,511.89 / $5,495.41 / $11,748.98
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,570.40 / $3,630.78 / $8,511.38
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$158.49 / $158.49 / $158.49
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,754.23 / $3,467.37 / $6,760.83
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$977.24 / $1,862.09 / $9,332.54
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,584.89 / $6,309.57 / $13,182.57