go back

Montana 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
$489.51 / $1,232.09 / $2,159.21
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$1,199.84 / $1,674.93 / $2,439.23
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.23 / $200.49 / $1,702.13
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$251.61 / $292.83 / $1,530.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47,000.00 / $81,499.99 / $94,999.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$129.87 / $129.87 / $259.22
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$129.87 / $259.08 / $499.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.70 / $140.84 / $265.39
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.61 / $127.23 / $259.08
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$110.39 / $170.10 / $316.94
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$235.11 / $267.37 / $296.95