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Alaska rates for HCPCS G0259

Injection procedure for sacroiliac joint; arthrography

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,473.04 / $6,782.00 / $13,413.92
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.89 / $127.09 / $127.09
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.89 / $65.62 / $177.93
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.89 / $65.62 / $177.93