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Colorado 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
$3,090.30 / $5,370.32 / $10,715.19
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,288.25 / $2,187.76 / $2,951.21
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,125.38 / $20,417.38 / $38,904.51
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,187.76 / $3,019.95 / $4,786.30
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,311.31 / $6,606.93 / $20,892.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,698.24 / $2,818.38 / $9,120.11
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$363.08 / $1,862.09 / $2,238.72
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,548.13 / $8,317.64 / $15,848.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.54 / $1,513.56 / $3,630.78