go back

New Jersey 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
$4,365.16 / $6,918.31 / $11,748.98
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,230.27 / $2,187.76 / $2,951.21
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,290.87 / $2,511.89 / $3,388.44
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,791.08 / $22,908.68 / $36,307.81
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$758.58 / $1,778.28 / $3,801.89
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,467.37 / $7,585.78 / $15,135.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$436.52 / $1,513.56 / $3,981.07