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Arizona 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
$1,162.00 / $2,640.00 / $5,506.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.89 / $127.09 / $260.31
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$402.71 / $1,516.10 / $2,479.76
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.50 / $141.59 / $218.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$122.50 / $122.50 / $122.50
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.07 / $286.33 / $2,674.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$202.96 / $202.96 / $202.96
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,086.00 / $2,017.00 / $3,268.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$202.96 / $202.96 / $202.96