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Georgia 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
$4,365.16 / $5,888.44 / $9,549.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,000.00 / $1,905.46 / $2,398.83
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,137.96 / $6,309.57 / $12,302.69
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,949.84 / $3,467.37 / $3,981.07
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,238.72 / $2,951.21 / $4,786.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,162.28 / $5,495.41 / $11,481.54
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,905.46 / $2,630.27 / $10,232.93
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,513.56 / $5,623.41 / $8,511.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.69 / $1,071.52 / $3,715.35