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North Carolina rates for HCPCS G0259

Injection procedure for sacroiliac joint; arthrography

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.89 / $903.00 / $7,362.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.89 / $127.09 / $127.09
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.76 / $75.00 / $100.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$784.73 / $784.73 / $784.73
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.89 / $127.09 / $152.51
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$117.00 / $896.00 / $2,229.00
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00