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Hawaii rates for HCPCS 0349T

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.27 / $190.27 / $190.27
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.28 / $37.28 / $37.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$155.93 / $155.93 / $155.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.59 / $308.02 / $323.18