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Iowa 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
$1,819.70 / $5,370.32 / $7,943.28
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.69 / $1,819.70 / $2,137.96
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,467.37 / $3,630.78 / $3,715.35
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,238.72 / $2,754.23 / $2,951.21
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$416.87 / $2,238.72 / $3,019.95
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,819.70 / $5,623.41 / $18,197.01
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$933.25 / $2,691.53 / $6,456.54
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,238.72 / $2,951.21 / $4,466.84
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,715.35 / $3,715.35 / $3,715.35
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,495.41 / $9,549.93 / $19,498.45
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$954.99 / $2,344.23 / $5,495.41