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North Dakota 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
$141.33 / $1,188.90 / $1,354.65
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$1,288.36 / $1,949.40 / $3,048.32
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.23 / $163.96 / $365.40
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$117.78 / $218.34 / $932.85
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$164.38 / $212.74 / $408.67
BCBS
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$246.57 / $349.86 / $613.01
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$137.07 / $255.28 / $516.89
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.84 / $163.96 / $457.95
Medica
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$457.95 / $915.90 / $1,398.55
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$176.30 / $300.95 / $671.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$166.37 / $288.49 / $366.01