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Iowa 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
$1,778.28 / $5,370.32 / $7,943.28
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$977.24 / $1,862.09 / $2,630.27
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,630.27 / $2,691.53 / $2,754.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,238.72 / $2,238.72 / $2,754.23
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$416.87 / $2,238.72 / $3,019.95
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,778.28 / $6,309.57 / $18,197.01
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$724.44 / $1,905.46 / $4,570.88
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,698.24 / $2,187.76 / $4,365.16
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,754.23 / $2,754.23 / $2,754.23
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,495.41 / $9,549.93 / $19,498.45
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$707.95 / $1,698.24 / $3,890.45