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Missouri 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
$21.05 / $48.56 / $128.26
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.05 / $41.37 / $182.54
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$155.97 / $183.51 / $331.53
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$200.07 / $333.69 / $409.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.82 / $24.90 / $155.93
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.05 / $47.15 / $236.67
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$153.03 / $212.50 / $1,157.43
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$114.42 / $180.02 / $251.32
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.44 / $199.02 / $330.07