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Kansas 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
$1,949.84 / $5,623.41 / $10,471.29
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,318.26 / $1,862.09 / $2,630.27
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$537.03 / $537.03 / $537.03
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.49 / $158.49 / $158.49
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$630.96 / $630.96 / $630.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,951.21 / $2,951.21 / $2,951.21
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,659.59 / $2,137.96 / $5,888.44
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$741.31 / $2,290.87 / $14,454.40
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,778.28 / $4,168.69 / $6,309.57
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$707.95 / $2,089.30 / $3,311.31