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North Dakota 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 / $127.09 / $2,000.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.89 / $127.09 / $127.09
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$160.43 / $217.80 / $759.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$148.50 / $149.99 / $188.60
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.89 / $127.09 / $891.42