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South Carolina 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
$127.09 / $1,954.53 / $9,062.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.89 / $127.09 / $127.09
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$616.63 / $1,337.65 / $2,714.46
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$454.18 / $580.00 / $607.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$122.50 / $122.50 / $122.50
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.89 / $127.09 / $177.93
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$518.09 / $518.09 / $518.09
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,000.00 / $3,000.00 / $3,000.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$490.00 / $3,866.00 / $6,584.00