go back

New York rates for HCPCS G0259

Injection procedure for sacroiliac joint; arthrography

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$748.00 / $3,419.00 / $8,134.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.89 / $87.50 / $127.09
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,689.00 / $3,373.00 / $4,707.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.03 / $113.05 / $229.30
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,350.00 / $1,350.00 / $4,050.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,648.00 / $14,648.00 / $14,648.00
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$555.00 / $597.00 / $74,999.25
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$964.00 / $2,826.00 / $4,851.00