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Indiana 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
$45.89 / $1,953.12 / $5,469.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.89 / $127.09 / $548.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,636.00 / $3,677.00 / $5,445.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$507.84 / $664.40 / $916.87
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,445.53 / $16,559.00 / $23,358.94
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$498.21 / $498.21 / $590.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$122.50 / $122.50 / $122.50
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,638.00 / $3,267.00 / $4,271.00