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Colorado 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
$3,090.30 / $5,370.32 / $10,715.19
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.69 / $1,949.84 / $2,454.71
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,125.38 / $20,417.38 / $38,904.51
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,187.76 / $3,019.95 / $4,786.30
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,951.21 / $5,011.87 / $15,848.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,290.87 / $2,818.38 / $9,332.54
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$537.03 / $2,818.38 / $2,818.38
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,548.13 / $8,317.64 / $15,848.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$724.44 / $2,187.76 / $4,677.35