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Washington rates for HCPCS G0259

Injection procedure for sacroiliac joint; arthrography

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.89 / $4,414.79 / $20,680.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.89 / $127.09 / $127.09
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.00 / $115.43 / $2,066.71
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$870.49 / $870.49 / $870.49
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.00 / $50.00 / $75.00
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79,999.20 / $79,999.20 / $79,999.20
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$157.00 / $546.00 / $5,793.00
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$203.66 / $203.66 / $203.66