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Montana 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
$537.75 / $1,174.73 / $1,850.72
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.89 / $127.09 / $990.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47,000.00 / $81,499.99 / $94,999.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$270.26 / $270.26 / $270.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$937.58 / $1,281.34 / $3,562.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$122.50 / $122.50 / $301.31
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.89 / $1,062.58 / $3,562.79
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$122.50 / $301.31 / $2,400,000.00