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Ohio 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
$478.63 / $2,041.74 / $5,370.32
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.67 / $125.89 / $645.65
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.53 / $199.53 / $398.11
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$707.95 / $2,238.72 / $3,981.07
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$446.68 / $549.54 / $831.76
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21,379.62 / $21,379.62 / $21,379.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.03 / $123.03 / $123.03
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$380.19 / $1,258.93 / $2,570.40
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.03 / $123.03 / $123.03
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $50.12 / $60.26
SummaCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$870.96 / $870.96 / $870.96
SummaCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.12 / $60.26 / $75.86
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,096.48 / $1,862.09 / $4,073.80