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Oklahoma 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
$219.86 / $2,444.00 / $6,435.00
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$1,429.40 / $3,036.00 / $4,314.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.37 / $132.38 / $199.82
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$244.62 / $244.62 / $244.62
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$776.37 / $1,217.40 / $1,899.24
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.25 / $156.10 / $214.35
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.19 / $179.28 / $261.17
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$87.08 / $177.36 / $1,145.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.41 / $199.64 / $2,255.51
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$139.00 / $610.00 / $1,883.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$133.10 / $174.69 / $251.75