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Utah rates for HCPCS 27096

Inject Si Joint Arthrgrphy&/Anes/Steroid W/Ima

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.82 / $968.79 / $4,387.00
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$940.22 / $1,684.91 / $3,306.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.61 / $180.92 / $736.39
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$120.00 / $278.33 / $717.17
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.42 / $184.12 / $276.18
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.22 / $120.45 / $149.49
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$108.92 / $209.81 / $362.79
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,078.00 / $1,556.00 / $4,495.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$142.91 / $184.62 / $282.24