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Montana 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
$19.50 / $137.76 / $201.98
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52.58 / $52.58 / $62.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.32 / $52.58 / $79.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.50 / $52.58 / $201.98
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.58 / $52.58 / $337.67
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$192.63 / $198.38 / $328.18