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Washington, DC 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
$1,698.24 / $2,187.76 / $7,762.47
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.69 / $1,905.46 / $2,398.83
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,818.38 / $6,309.57 / $10,715.19
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,862.09 / $1,995.26 / $4,786.30
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,311.31 / $16,218.10 / $35,481.34
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$501.19 / $2,511.89 / $7,244.36