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Virginia 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
$2,344.23 / $4,365.16 / $14,791.08
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$977.24 / $2,089.30 / $2,951.21
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,772.37 / $13,182.57 / $15,488.17
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,348.96 / $1,949.84 / $3,467.37
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,466.84 / $6,918.31 / $8,317.64
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$645.65 / $645.65 / $645.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9,120.11 / $9,120.11 / $9,120.11
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,905.46 / $2,290.87 / $2,818.38
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,023.29 / $2,041.74 / $3,467.37
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,445.44 / $3,019.95 / $10,000.00
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,445.44 / $3,019.95 / $10,000.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,623.41 / $9,549.93 / $19,054.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$457.09 / $1,202.26 / $3,235.94