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Delaware 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
$6,907.00 / $6,907.00 / $6,907.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,505.40 / $1,896.63 / $1,896.63
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,851.90 / $3,851.90 / $3,851.90
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,200.00 / $2,200.00 / $2,200.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$530.39 / $685.99 / $5,877.80