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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. (Rvsd 1/1/04)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$717.56 / $4,090.00 / $7,629.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.89 / $127.09 / $127.09
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,824.00 / $8,848.00 / $11,797.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$328.46 / $394.15 / $527.90
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$416.49 / $416.49 / $1,018.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$122.50 / $122.50 / $122.50
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,157.00 / $4,210.00 / $7,760.00