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Michigan 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
$45.71 / $1,659.59 / $4,897.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.67 / $125.89 / $257.04
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.83 / $229.09 / $354.81
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$645.65 / $645.65 / $645.65
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.82 / $933.25 / $977.24
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.03 / $123.03 / $123.03
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.71 / $1,659.59 / $4,897.79
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.67 / $125.89 / $257.04
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.03 / $123.03 / $123.03
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$645.65 / $1,995.26 / $4,265.80