go back

North Carolina 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
$127.09 / $864.50 / $4,332.85
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.89 / $127.09 / $127.09
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.00 / $1,548.97 / $1,548.97
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$395.75 / $395.75 / $638.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$122.50 / $122.50 / $122.50
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.89 / $127.09 / $152.51
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$378.00 / $378.00 / $400.00
Oscar Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$986.13 / $986.13 / $986.13
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,001.59 / $2,001.59 / $2,002.17
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$554.00 / $2,417.00 / $4,102.00
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00