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New Jersey 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 / $6,918.31 / $11,748.98
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.69 / $1,778.28 / $2,454.71
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,290.87 / $2,511.89 / $3,981.07
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,791.08 / $22,908.68 / $36,307.81
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$933.25 / $2,630.27 / $5,128.61
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,467.37 / $7,585.78 / $15,135.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$537.03 / $1,737.80 / $5,754.40