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Illinois 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
$19.50 / $62.40 / $238.28
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.50 / $31.75 / $219.18
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$127.47 / $152.08 / $196.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$133.66 / $337.33 / $886.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.17 / $38.47 / $239.89
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $345.40 / $345.40
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,500.00 / $2,500.00 / $2,500.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$128.26 / $193.32 / $220.97
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.22 / $223.68 / $349.15