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New Hampshire 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
$193.13 / $202.27 / $222.76
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$170.50 / $170.50 / $170.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$491.17 / $640.01 / $936.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.14 / $33.14 / $33.14
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.03 / $65.81 / $121.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$192.72 / $240.67 / $368.90
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,500.00 / $2,750.00 / $3,500.00