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Florida 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
$1,230.27 / $5,495.41 / $10,964.78
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$691.83 / $1,778.28 / $2,398.83
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$323.59 / $3,467.37 / $4,168.69
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9,332.54 / $9,332.54 / $9,332.54
Florida Blue
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,905.46 / $2,041.74 / $2,238.72
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,698.24 / $2,570.40 / $3,311.31
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $50.12
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,630.27 / $7,762.47 / $12,022.64
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.44 / $2,187.76 / $4,365.16
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,479.11 / $2,187.76 / $2,570.40