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Wyoming 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
Professional
Modifier
Low / Median / High Price
$1,961.31 / $2,322.60 / $2,447.41
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,227.88 / $2,227.88 / $2,227.88
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,200.00 / $4,200.00 / $14,634.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$824.28 / $3,377.90 / $6,530.76