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Indiana rates for HCPCS G0259

Injection procedure for sacroiliac joint; arthrography

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.89 / $127.09 / $5,634.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.89 / $127.09 / $127.09
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$664.40 / $664.40 / $1,282.29
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$441.60 / $664.40 / $916.87
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$745.46 / $877.01 / $877.01
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$933.00 / $2,252.00 / $4,426.00