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Oklahoma 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
$1,202.26 / $2,630.27 / $8,912.51
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$891.25 / $891.25 / $891.25
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,096.48 / $1,659.59 / $11,481.54
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
$1,949.84 / $7,762.47 / $14,454.40