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Arkansas rates for HCPCS 0201T

Percutaneous sacral augmentation (sacroplasty), bilateral injections, including the use of a balloon or mechanical device, when used, 2 or more needles, includes imaging guidance and bone biopsy, when performed

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$760.95 / $1,821.00 / $9,477.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$663.58 / $760.95 / $1,937.94
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$584.95 / $860.22 / $2,805.01
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,206.07 / $3,206.07 / $3,206.07
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,240.00 / $2,563.00 / $5,652.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$732.56 / $2,068.07 / $4,977.42