| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $190.27 | $190.27 | $190.27 | |
Cigna
| Facility | $37.28 | $37.28 | $37.28 | |
Cigna
| Professional | $155.93 | $155.93 | $155.93 | |
United
| Professional | $104.59 | $308.02 | $323.18 |
Radiologic examination, radiostereometric analysis (RSA); upper extremity(ies), (includes shoulder, elbow, and wrist, when performed)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $190.27 | $190.27 | $190.27 | |
Cigna
| Facility | $37.28 | $37.28 | $37.28 | |
Cigna
| Professional | $155.93 | $155.93 | $155.93 | |
United
| Professional | $104.59 | $308.02 | $323.18 |