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Kentucky 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 / $416.00 / $2,747.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.89 / $127.09 / $260.31
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,041.00 / $2,067.00 / $2,978.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$410.69 / $507.84 / $664.40
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$478.48 / $478.48 / $478.48
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$454.18 / $454.18 / $454.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$122.50 / $122.50 / $122.50
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.00 / $45.00 / $3,000.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$391.00 / $950.00 / $3,394.00