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Washington rates for HCPCS G0414

Open Treatment Of Anterior Pelvic Bone Fracture And/Or Dislocation For Fracture

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$822.32 / $13,147.68 / $23,856.49
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,433.47 / $36,627.79 / $70,860.36
Asuris Northwest Health
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$141.29 / $462.93 / $462.93
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$714.97 / $765.00 / $870.49
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$951.39 / $1,928.37 / $2,751.97
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,429.76 / $1,901.46 / $2,030.77
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,349.03 / $1,349.03 / $1,385.17
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27,977.90 / $36,627.79 / $70,064.83
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,028.00 / $5,547.00 / $19,271.00