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New Mexico 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
$2,089.30 / $7,762.47 / $7,762.47
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$691.83 / $1,905.46 / $2,454.71
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,370.32 / $11,748.98 / $19,054.61
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,344.23 / $2,344.23 / $2,818.38
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.12 / $60.26 / $2,187.76
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$446.68 / $1,949.84 / $3,162.28
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$501.19 / $588.84 / $3,019.95
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$794.33 / $9,120.11 / $31,622.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$741.31 / $1,202.26 / $3,630.78