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Virginia 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
$1,122.02 / $5,011.87 / $12,882.50
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,888.44 / $6,760.83 / $7,413.10
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$645.65 / $645.65 / $645.65
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$891.25 / $1,122.02 / $1,318.26
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,318.26 / $1,698.24 / $1,698.24
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$812.83 / $1,148.15 / $1,905.46
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$891.25 / $1,380.38 / $10,964.78
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,413.10 / $12,882.50 / $29,512.09