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Missouri 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
$2,041.74 / $4,897.79 / $8,511.38
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$977.24 / $1,513.56 / $5,495.41
Medica
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$181.97 / $467.74 / $467.74
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,884.03 / $3,548.13 / $11,748.98