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Alaska rates for HCPCS G0260

Injection procedure for sacroiliac joint; provision of anesthetic, steroid and/or other therapeutic agent, with or without arthrography

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$725.32 / $4,473.04 / $11,709.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.89 / $127.09 / $127.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$122.50 / $122.50 / $122.50
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.89 / $65.62 / $177.93
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.89 / $65.62 / $177.93
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$122.50 / $122.50 / $122.50