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South Dakota 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
$45.89 / $127.09 / $1,850.72
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.89 / $127.09 / $990.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$148.50 / $148.50 / $185.63
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$77.23 / $214.78 / $520.62
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$362.92 / $646.00 / $895.92
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.42 / $219.78 / $437.16
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$640.00 / $640.00 / $640.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,643.00 / $1,643.00 / $1,643.00
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$230.40 / $279.20 / $279.20