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Connecticut 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
$776.25 / $3,890.45 / $7,079.46
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.67 / $125.89 / $165.96
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,137.96 / $3,162.28 / $11,748.98
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.13 / $416.87 / $741.31
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$416.87 / $416.87 / $1,023.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.03 / $123.03 / $123.03
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,819.70 / $4,466.84 / $9,332.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.95 / $67.61 / $457.09