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Missouri 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 / $4,897.79 / $8,511.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,096.48 / $1,905.46 / $2,951.21
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$436.52 / $1,071.52 / $7,244.36
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,905.46 / $1,905.46 / $1,905.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,187.76 / $2,238.72 / $4,365.16
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,122.02 / $2,454.71 / $6,918.31
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$602.56 / $1,737.80 / $14,454.40
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,137.96 / $3,019.95 / $5,888.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$588.84 / $1,584.89 / $2,951.21