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West Virginia 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
$1,072.54 / $1,564.16 / $2,512.62
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.89 / $127.09 / $127.09
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$454.18 / $454.18 / $454.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$122.50 / $122.50 / $450.23
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$641.46 / $2,264.67 / $2,695.73