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Missouri rates for HCPCS G0259

Injection procedure for sacroiliac joint; arthrography

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$127.09 / $2,705.47 / $7,365.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.89 / $127.09 / $127.09
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.00 / $507.84 / $1,969.22
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.88 / $82.88 / $82.88
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.89 / $127.09 / $469.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,061.88 / $2,061.88 / $2,061.88
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$245.00 / $815.00 / $1,351.00