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Tennessee 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
$1,819.70 / $2,691.53 / $7,585.78
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,047.13 / $2,089.30 / $2,951.21
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,467.37 / $7,079.46 / $10,232.93
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$602.56 / $851.14 / $1,348.96
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.20 / $30.20 / $30.20
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26,302.68 / $26,302.68 / $26,302.68
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14,125.38 / $16,595.87 / $16,595.87
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,754.23 / $4,570.88 / $7,585.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$524.81 / $954.99 / $1,905.46