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Mississippi rates for HCPCS G0260

Injection Procedure For Sacroiliac Joint; Provision Of Anesthetic Steroid And/Or Other Therapeutic Agent With Or Without Arthrography. (Rvsd 1/1/04)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.89 / $920.94 / $1,831.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.89 / $127.09 / $127.09
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$246.59 / $246.59 / $493.19
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$410.58 / $410.58 / $410.58
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$296.00 / $296.00 / $296.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$343.53 / $384.58 / $1,168.67
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$122.50 / $122.50 / $122.50
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.00 / $21.25 / $50.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$455.00 / $858.00 / $1,957.00