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Massachusetts 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
$2,630.27 / $3,388.44 / $5,623.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,047.13 / $2,089.30 / $2,951.21
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,137.96 / $5,248.07 / $15,135.61
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562.34 / $1,995.26 / $14,125.38
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,995.26 / $3,235.94 / $8,511.38
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,238.72 / $2,818.38 / $3,890.45
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,137.96 / $5,248.07 / $11,220.18
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,041.74 / $3,630.78 / $5,495.41
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,398.83 / $5,248.07 / $15,135.61
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562.34 / $1,995.26 / $14,125.38
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,041.74 / $5,248.07 / $13,182.57
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562.34 / $2,344.23 / $5,888.44