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Alaska rates for HCPCS 0200T

Percutaneous sacral augmentation (sacroplasty), unilateral injection(s), including the use of a balloon or mechanical device, when used, 1 or more needles, includes imaging guidance and bone biopsy, when performed

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,772.37 / $12,022.64 / $16,595.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,584.89 / $2,238.72 / $2,951.21
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,778.28 / $2,691.53 / $3,715.35
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$977.24 / $2,454.71 / $2,951.21
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,691.53 / $7,943.28 / $10,471.29
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,778.28 / $2,454.71 / $3,715.35
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.54 / $6,606.93 / $8,511.38