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Missouri 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
$127.09 / $1,833.15 / $5,644.74
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.89 / $127.09 / $127.09
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$507.84 / $583.00 / $732.47
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$122.50 / $122.50 / $122.50
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.89 / $127.09 / $1,729.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,061.88 / $2,061.88 / $2,061.88
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$899.00 / $1,632.00 / $2,664.00