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Idaho rates for HCPCS G0259

Injection procedure for sacroiliac joint; arthrography

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$255.85 / $255.85 / $7,045.00
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 / $87.50 / $162.68
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $55.00 / $3,900.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$150.00 / $1,800.00 / $9,193.00