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Nebraska rates for HCPCS G0259

Injection Procedure For Sacroiliac Joint; Arthrography

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$127.09 / $3,908.01 / $13,841.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.89 / $127.09 / $127.09
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,221.98 / $1,607.24 / $3,108.92
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.89 / $114.38 / $241.47
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,061.88 / $2,061.88 / $2,061.88
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$219.78 / $437.16 / $1,476.18
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$219.78 / $1,340.48 / $1,436.40
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,031.00 / $1,775.00 / $4,406.00