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Georgia 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
$4,365.16 / $5,888.44 / $9,549.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,047.13 / $2,041.74 / $2,951.21
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,137.96 / $6,309.57 / $12,302.69
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,995.26 / $2,398.83 / $2,691.53
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,862.09 / $1,862.09 / $3,311.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,090.30 / $4,365.16 / $9,120.11
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,089.30 / $2,951.21 / $8,128.31
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,513.56 / $5,623.41 / $8,511.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489.78 / $794.33 / $3,630.78