go back

New Jersey 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
$165.59 / $2,677.00 / $6,481.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.89 / $127.09 / $137.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$122.50 / $122.50 / $122.50
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,683.65 / $1,914.26 / $3,210.89
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$135.08 / $135.08 / $158.91
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,354.00 / $3,961.00 / $10,536.00