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Oregon 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
$2,570.40 / $7,943.28 / $7,943.28
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,230.27 / $2,344.23 / $2,951.21
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,659.59 / $1,659.59 / $1,659.59
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,162.28 / $4,265.80 / $5,011.87
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,621.81 / $2,570.40 / $3,715.35
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,479.11 / $2,290.87 / $9,120.11
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,230.27 / $3,981.07 / $7,762.47
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,318.26 / $2,570.40 / $3,715.35
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $3,715.35 / $4,073.80
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,982.44 / $22,387.21 / $27,542.29
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,905.46 / $3,981.07 / $5,370.32
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,137.96 / $13,182.57 / $31,622.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$794.33 / $2,691.53 / $4,570.88