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Georgia rates for HCPCS 27096

Injection procedure for sacroiliac joint, anesthetic/steroid, with image guidance (fluoroscopy or CT) including arthrography when performed

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$171.28 / $3,136.08 / $6,915.00
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$1,340.09 / $5,086.50 / $11,399.68
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.72 / $171.28 / $457.14
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$119.37 / $550.94 / $982.87
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.00 / $151.13 / $325.00
Ambetter
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$129.00 / $226.69 / $487.50
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$734.14 / $2,139.92 / $4,143.39
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.38 / $122.00 / $236.45
Anthem BCBS
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$122.07 / $183.00 / $353.79
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$86.37 / $121.18 / $247.11
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$148.35 / $189.32 / $203.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$141.63 / $141.63 / $2,500.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$90.74 / $198.12 / $389.79
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.68 / $191.49 / $861.34
Oscar Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,276.90 / $1,276.90 / $2,625.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.40 / $159.44 / $284.58
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$175.00 / $1,550.00 / $2,665.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.41 / $237.58 / $413.79