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Tennessee 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
$1,720.45 / $2,678.00 / $7,602.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$663.58 / $1,720.45 / $2,261.06
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,014.00 / $6,529.00 / $9,553.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$832.20 / $1,134.75 / $1,779.61
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,779.04 / $19,913.50 / $19,913.50
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14,311.13 / $14,615.12 / $15,862.58
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,791.00 / $4,722.00 / $8,454.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$771.54 / $1,350.00 / $2,522.15