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Connecticut 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
$4,570.88 / $5,248.07 / $10,471.29
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.69 / $1,737.80 / $2,398.83
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,912.51 / $17,378.01 / $26,915.35
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$851.14 / $1,659.59 / $2,511.89
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$851.14 / $1,659.59 / $1,659.59
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,995.26 / $2,290.87 / $3,981.07
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,370.32 / $8,511.38 / $11,748.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$741.31 / $2,630.27 / $5,128.61