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Connecticut 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
$4,570.88 / $4,897.79 / $10,471.29
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,230.27 / $2,089.30 / $2,951.21
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,912.51 / $17,378.01 / $26,915.35
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$630.96 / $1,513.56 / $2,290.87
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$851.14 / $1,230.27 / $12,589.25
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,995.26 / $2,290.87 / $3,981.07
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,370.32 / $8,511.38 / $11,748.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$602.56 / $1,819.70 / $4,265.80