go back

Indiana 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
$22.45 / $250.18 / $314.61
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.50 / $31.00 / $189.23
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$99.51 / $117.08 / $131.12
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.93 / $483.82 / $811.35
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.28 / $111.40 / $467.61
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.04 / $32.45 / $239.89
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$231.98 / $231.98 / $235.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$164.76 / $194.16 / $329.95