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California rates for HCPCS 27096

Inject Si Joint Arthrgrphy&/Anes/Steroid W/Ima

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$426.00 / $3,710.42 / $14,970.00
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$868.68 / $3,350.43 / $5,967.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.23 / $168.57 / $506.71
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$99.92 / $287.00 / $823.00
Ambetter
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$119.17 / $119.17 / $119.17
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,723.00 / $4,464.00 / $8,976.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.68 / $111.09 / $382.41
Anthem BCBS
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$115.61 / $153.52 / $235.39
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.40 / $100.00 / $5,177.85
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.89 / $134.61 / $277.70
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.00 / $56.00 / $56.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.31 / $177.10 / $391.46
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$94.18 / $225.78 / $370.44
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.76 / $169.19 / $314.00
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$459.08 / $459.08 / $15,000.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$671.00 / $2,255.51 / $2,306.53
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $32.34
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$95.35 / $177.15 / $355.26
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.61 / $189.76 / $409.19
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$272.66 / $272.66 / $539.54
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.57 / $186.67 / $528.74
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$570.00 / $1,551.00 / $6,323.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.10 / $181.44 / $370.84