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Florida 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 / $2,095.19 / $8,988.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.89 / $127.09 / $137.55
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.14 / $338.27 / $338.27
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$323.00 / $370.55 / $441.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$122.50 / $122.50 / $122.50
Florida Blue
Facility/Professional
Facility
Modifier
Low / Median / High Price
$561.74 / $599.17 / $647.87
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$111.99 / $168.49 / $196.53
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.00 / $40.00 / $50.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$591.00 / $2,671.00 / $6,077.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$372.07 / $372.07 / $372.07
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$437.95 / $437.95 / $437.95