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North Dakota 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
$1,584.89 / $1,905.46 / $8,511.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.69 / $1,584.89 / $2,398.83
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,801.89 / $4,365.16 / $5,370.32
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,238.72 / $2,238.72 / $2,754.23
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$501.19 / $2,187.76 / $4,786.30
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$776.25 / $1,288.25 / $5,370.32
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,819.70 / $2,041.74 / $14,125.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$707.95 / $1,949.84 / $4,466.84