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Arizona 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
$51.54 / $73.19 / $276.77
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.54 / $179.89 / $202.15
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.80 / $122.31 / $201.51
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.00 / $40.00 / $50.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$233.08 / $295.14 / $428.42
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.62 / $43.54 / $303.08
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.62 / $56.69 / $296.60
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$155.33 / $198.04 / $1,157.43
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$108.97 / $134.50 / $220.97
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$140.62 / $194.16 / $322.80