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New Mexico 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
$169.10 / $2,145.78 / $7,838.38
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$3,601.50 / $3,601.50 / $3,601.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.23 / $168.56 / $399.15
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$252.86 / $403.43 / $659.15
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56,799.99 / $68,899.99 / $81,099.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.85 / $148.09 / $229.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.86 / $176.67 / $310.92
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $244.81
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.48 / $161.41 / $307.48
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$90.00 / $200.03 / $313.76
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$230.00 / $1,158.00 / $1,401.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$183.68 / $252.00 / $387.67