go back

Oklahoma 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
$1,288.25 / $2,630.27 / $6,606.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,288.25 / $2,041.74 / $2,951.21
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,737.80 / $2,691.53 / $4,365.16
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,413.10 / $7,413.10 / $7,413.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,698.24 / $1,698.24 / $1,698.24
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,047.13 / $2,398.83 / $7,943.28
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562.34 / $1,513.56 / $3,548.13
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,230.27 / $4,570.88 / $8,511.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$524.81 / $1,288.25 / $2,041.74