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Oregon 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
$260.31 / $4,283.46 / $8,728.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.89 / $127.09 / $132.22
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$550.00 / $550.00 / $550.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$122.50 / $122.50 / $122.50
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.89 / $98.66 / $162.68
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$524.08 / $532.97 / $532.97
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$561.66 / $666.00 / $717.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.89 / $127.09 / $3,640.00
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$122.50 / $2,250,000.00 / $2,400,000.00
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,722.06 / $2,201.77 / $2,738.85
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.98 / $230.50 / $230.50
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,106.00 / $2,385.00 / $7,480.00