go back

Texas rates for HCPCS G0259

Injection Procedure For Sacroiliac Joint; Arthrography

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$428.00 / $2,166.00 / $7,513.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.89 / $127.09 / $127.09
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,845.00 / $5,646.00 / $8,585.00
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.00 / $80.00 / $80.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$357.11 / $357.11 / $357.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$477.41 / $477.41 / $477.41
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,061.88 / $2,061.88 / $2,144.36
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.89 / $127.09 / $269.43
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.89 / $127.09 / $269.43
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$477.41 / $2,250,000.00 / $2,400,000.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$161.00 / $950.00 / $2,405.00
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$203.66 / $203.66 / $274.94