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Florida 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
$1,047.13 / $5,495.41 / $10,964.78
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$977.24 / $1,862.09 / $2,691.53
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$323.59 / $4,570.88 / $5,495.41
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9,120.11 / $9,120.11 / $9,120.11
Florida Blue
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,905.46 / $2,041.74 / $2,238.72
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,148.15 / $1,737.80 / $2,187.76
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $50.12
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,630.27 / $7,762.47 / $12,022.64
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$446.68 / $1,479.11 / $2,951.21
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,698.24 / $1,995.26 / $1,995.26