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Alaska rates for HCPCS 0349T

Radiologic examination, radiostereometric analysis (RSA); upper extremity(ies), (includes shoulder, elbow, and wrist, when performed)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$224.13 / $747.11 / $1,370.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.46 / $213.46 / $213.46
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$466.44 / $466.44 / $466.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.25 / $67.25 / $67.25
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.61 / $33.61 / $305.25
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.00 / $178.50 / $1,033.19
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$213.46 / $292.44 / $466.44
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.00 / $805.50 / $1,218.99
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.16 / $479.06 / $1,157.53