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Minnesota 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
$1,862.09 / $1,862.09 / $1,862.09
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,174.90 / $1,905.46 / $2,951.21
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,995.26 / $13,803.84 / $32,359.37
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$831.76 / $1,047.13 / $1,047.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,248.07 / $7,413.10 / $17,782.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,238.72 / $2,454.71 / $2,818.38
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,754.40 / $7,079.46 / $13,803.84
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,238.72 / $2,238.72 / $3,090.30
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,862.09 / $3,467.37 / $9,332.54
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$776.25 / $2,137.96 / $7,943.28
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,584.89 / $5,495.41 / $10,715.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$724.44 / $2,089.30 / $4,897.79