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Ohio rates for HCPCS G0259

Injection procedure for sacroiliac joint; arthrography

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$255.85 / $2,485.00 / $10,635.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.89 / $127.09 / $255.85
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$430.59 / $512.25 / $779.87
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21,571.00 / $21,571.00 / $21,571.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$145.04 / $145.04 / $145.04
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$145.04 / $145.04 / $145.04
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.00 / $50.00 / $60.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$444.00 / $965.00 / $2,914.00