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Maryland rates for HCPCS G0259

Injection procedure for sacroiliac joint; arthrography

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.89 / $79.84 / $127.09
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$641.21 / $641.21 / $641.21
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$167.00 / $176.00 / $189.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.00 / $36.00 / $41.00