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Iowa 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
$91.20 / $1,412.54 / $5,370.32
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.67 / $125.89 / $524.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.03 / $158.49 / $194.98
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.83 / $154.88 / $2,344.23
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$70.79 / $562.34 / $3,548.13
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.36 / $316.23 / $2,041.74
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.78 / $218.78 / $436.52
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.49 / $218.78 / $436.52
Oscar Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$389.05 / $389.05 / $389.05
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,513.56 / $2,290.87 / $4,897.79
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.97 / $229.09 / $269.15