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South Dakota rates for HCPCS G0259

Injection Procedure For Sacroiliac Joint; Arthrography

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.89 / $127.09 / $127.09
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.89 / $127.09 / $255.85
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,476.18 / $1,476.18 / $1,476.18
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$77.23 / $214.78 / $511.70
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,476.18 / $1,476.18 / $1,476.18
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$219.78 / $1,340.48 / $1,476.18
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$821.00 / $821.00 / $821.00
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$230.40 / $279.20 / $279.20