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Kentucky 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
$851.14 / $2,818.38 / $8,511.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,230.27 / $1,862.09 / $2,630.27
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,317.64 / $10,232.93 / $10,232.93
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$426.58 / $501.19 / $691.83
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,398.83 / $32,359.37 / $56,234.13
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,041.74 / $31,622.78 / $56,234.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,311.31 / $3,311.31 / $3,311.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9,120.11 / $9,120.11 / $9,120.11
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.67 / $44.67 / $1,995.26
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$741.31 / $3,890.45 / $8,511.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.44 / $1,122.02 / $2,691.53