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Washington, DC 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
$127.09 / $1,793.00 / $4,100.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.89 / $63.01 / $127.09
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,030.00 / $1,317.00 / $2,368.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$122.50 / $122.50 / $122.50
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,404.00 / $1,404.00 / $1,404.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$665.00 / $762.00 / $6,342.00