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Maine rates for HCPCS 27096

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

Facilitymedian $550 · 10th–90th $138–$2,5700%10%10th90th$550Professionalmedian $182 · 10th–90th $81–$4370%10%10th90th$182$20.0$100.0$500.0$2.0K$10.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$138.04 / $1,047.13 / $2,570.40
Aetna
Facility/Professional
Facility
Modifier
50
Typical Low / Median / Typical High
$275.42 / $524.81 / $1,513.56
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$77.62 / $165.96 / $416.87
Aetna
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$117.49 / $245.47 / $630.96
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$74.13 / $120.23 / $199.53
Anthem BCBS
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$109.65 / $181.97 / $295.12
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$93.33 / $204.17 / $371.54
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$91.20 / $218.78 / $346.74
Martin's Point
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$93.33 / $204.17 / $10,471.29
Martin's Point
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$83.18 / $169.82 / $354.81
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$81.28 / $162.18 / $338.84