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Nebraska 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 / $3,185.73 / $12,036.14
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.89 / $127.09 / $127.09
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$291.20 / $291.20 / $295.06
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,221.98 / $1,607.24 / $3,108.92
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$557.63 / $557.63 / $557.63
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$122.50 / $148.50 / $185.63
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.89 / $127.09 / $520.62
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,061.88 / $2,061.88 / $2,061.88
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$362.92 / $645.64 / $873.61
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$157.49 / $329.57 / $437.16
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,775.00 / $3,227.00 / $6,169.00