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Nebraska 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
$7,244.36 / $8,511.38 / $16,218.10
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,128.31 / $10,232.93 / $20,892.96
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,128.31 / $8,128.31 / $8,128.31
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$912.01 / $1,584.89 / $8,128.31
Medica
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$181.97 / $467.74 / $467.74
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,479.11 / $1,548.82 / $2,398.83
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,128.31 / $8,128.31 / $8,128.31
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,079.46 / $8,511.38 / $10,964.78