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South Carolina rates for HCPCS G0259

Injection Procedure For Sacroiliac Joint; Arthrography

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.89 / $4,230.00 / $9,870.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.89 / $127.09 / $127.09
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$357.11 / $357.11 / $890.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$477.41 / $477.41 / $477.41
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.89 / $102.79 / $177.93
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$225.00 / $1,221.00 / $3,585.00