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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
$1,819.70 / $2,691.53 / $7,585.78
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$691.83 / $1,819.70 / $2,398.83
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,467.37 / $7,079.46 / $10,232.93
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$912.01 / $1,258.93 / $2,041.74
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.20 / $30.20 / $30.20
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19,952.62 / $19,952.62 / $19,952.62
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14,454.40 / $15,848.93 / $15,848.93
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,754.23 / $4,570.88 / $7,585.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$741.31 / $1,348.96 / $2,630.27