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North Carolina 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 / $8,709.64 / $13,803.84
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,698.24 / $1,698.24 / $1,698.24
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$870.96 / $1,174.90 / $1,862.09
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,370.32 / $15,135.61 / $22,908.68
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,309.57 / $6,309.57 / $6,309.57
Wellcare
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$630.96 / $630.96 / $630.96