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Utah rates for HCPCS 27279

Arthrodesis, sacroiliac joint, percutaneous or minimally invasive, with image guidance, includes obtaining bone graft when performed, unilateral; placement of transarticular device(s) and/or intra-articular device(s) piercing the lateral or medial cortices of the ilium and the lateral cortex of the sacrum

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$813.83 / $6,459.40 / $11,301.43
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26,748.34 / $35,335.00 / $51,493.21
Regence BlueShield
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$40,122.51 / $53,002.50 / $77,239.82
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,340.00 / $10,927.00 / $24,613.00