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Washington, DC 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
$1,698.24 / $2,344.23 / $7,762.47
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,230.27 / $2,344.23 / $2,630.27
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,818.38 / $5,128.61 / $9,120.11
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,089.30 / $2,187.76 / $4,365.16
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,311.31 / $16,218.10 / $35,481.34
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$407.38 / $1,698.24 / $5,011.87