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Kansas 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
$1,949.84 / $5,623.41 / $10,471.29
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,258.93 / $1,819.70 / $2,951.21
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$794.33 / $794.33 / $794.33
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$630.96 / $630.96 / $630.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,187.76 / $2,187.76 / $2,187.76
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,659.59 / $2,137.96 / $5,754.40
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$602.56 / $1,621.81 / $14,454.40
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,778.28 / $4,168.69 / $6,309.57
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.44 / $1,513.56 / $2,454.71