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Maryland 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
$149.55 / $318.77 / $1,612.05
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.89 / $127.09 / $127.09
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,369.00 / $1,369.00 / $1,369.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$330.00 / $350.97 / $641.21
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
$1,292.00 / $1,292.00 / $1,927.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$123.00 / $123.00 / $158.00