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Nebraska 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
$7,244.36 / $8,511.38 / $14,454.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,659.59 / $1,778.28 / $1,905.46
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,606.93 / $8,709.64 / $16,982.44
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$467.74 / $1,548.82 / $3,715.35
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,079.46 / $7,079.46 / $7,079.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,698.24 / $2,238.72 / $4,168.69
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,778.28 / $3,090.30 / $10,964.78
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$851.14 / $1,905.46 / $4,570.88
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,698.24 / $2,187.76 / $4,365.16
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,079.46 / $7,079.46 / $7,079.46
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,737.80 / $4,168.69 / $4,168.69
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,778.28 / $6,606.93 / $9,549.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,000.00 / $1,905.46 / $3,981.07