go back

Montana rates for HCPCS G0259

Injection procedure for sacroiliac joint; arthrography

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.89 / $127.09 / $127.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$258.51 / $258.51 / $258.51
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.89 / $45.89 / $127.09
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$258.51 / $1,800,000.00 / $2,400,000.00