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North Carolina 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
$1,659.59 / $6,165.95 / $8,709.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,047.13 / $2,089.30 / $2,951.21
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$776.25 / $1,995.26 / $4,786.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9,120.11 / $9,120.11 / $9,120.11
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,288.25 / $2,290.87 / $3,235.94
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,311.31 / $9,332.54 / $14,454.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,174.90 / $2,137.96 / $4,073.80
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26,302.68 / $26,302.68 / $26,302.68
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14,125.38 / $16,595.87 / $16,595.87