go back

North Dakota 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
$1,096.48 / $1,862.09 / $8,511.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,096.48 / $2,570.40 / $2,951.21
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,801.89 / $4,466.84 / $5,370.32
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,238.72 / $2,238.72 / $2,754.23
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,096.48 / $2,398.83 / $3,467.37
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$630.96 / $1,513.56 / $3,715.35
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,819.70 / $2,041.74 / $14,125.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.44 / $1,778.28 / $3,388.44