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New York 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
$125.89 / $3,548.13 / $10,000.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.67 / $125.89 / $257.04
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,819.70 / $3,630.78 / $5,011.87
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.84 / $416.87 / $691.83
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,148.15 / $1,348.96 / $4,073.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$457.09 / $457.09 / $50,118.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.03 / $123.03 / $123.03
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$134.90 / $134.90 / $234.42
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478.63 / $562.34 / $562.34
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$724.44 / $1,230.27 / $1,698.24
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50,118.72 / $53,703.18 / $75,857.76
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,445.44 / $3,311.31 / $6,165.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.28 / $194.98 / $537.03
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$562.34 / $562.34 / $562.34
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478.63 / $562.34 / $562.34