go back

Oklahoma 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
$1,288.25 / $2,630.27 / $6,606.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$758.58 / $1,905.46 / $2,454.71
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,737.80 / $2,691.53 / $4,365.16
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,623.41 / $5,623.41 / $5,623.41
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,290.87 / $2,290.87 / $2,290.87
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,000.00 / $2,398.83 / $7,943.28
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$724.44 / $2,041.74 / $5,011.87
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,230.27 / $4,570.88 / $8,511.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$645.65 / $1,862.09 / $2,818.38