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Mississippi 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
$776.25 / $1,819.70 / $2,818.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$758.58 / $1,905.46 / $2,398.83
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,630.78 / $3,630.78 / $3,630.78
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$776.25 / $776.25 / $3,467.37
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,235.94 / $3,630.78 / $4,570.88
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.38 / $42.66 / $79.43
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$954.99 / $3,467.37 / $10,232.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$707.95 / $1,737.80 / $4,466.84