go back

Texas 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
$161.51 / $2,020.00 / $7,339.00
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$1,403.70 / $2,944.50 / $4,670.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.23 / $147.72 / $259.19
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$100.17 / $256.92 / $659.15
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.98 / $162.15 / $194.54
Ambetter
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$118.50 / $229.46 / $279.66
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$84.05 / $135.11 / $716.69
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.59 / $130.37 / $207.46
Baylor Scott & White
Facility/Professional
Facility
Modifier
Low / Median / High Price
$81.48 / $1,616.06 / $2,375.71
Baylor Scott & White
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.50 / $94.80 / $261.01
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$72.65 / $126.05 / $126.05
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$141.63 / $141.63 / $141.63
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$90.16 / $171.17 / $313.68
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $662.39 / $15,000.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$671.00 / $2,255.51 / $2,306.53
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.93 / $167.49 / $348.40
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$105.13 / $198.93 / $296.00
Moda Health
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$162.12 / $403.74 / $1,048.50
Oscar Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$898.34 / $2,499.00 / $5,812.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.88 / $159.82 / $212.36
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.93 / $167.81 / $350.02
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.78 / $173.13 / $325.56
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$161.00 / $950.00 / $2,405.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$132.11 / $174.69 / $282.83
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$135.82 / $152.97 / $215.76