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New Mexico 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
$178.11 / $178.11 / $213.89
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.54 / $171.11 / $178.11
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$103.76 / $103.76 / $103.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.13 / $27.13 / $27.13
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.05 / $60.00 / $1,000.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$51.54 / $145.44 / $222.76
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.13 / $27.13 / $805.50
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$235.69 / $235.69 / $235.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$182.79 / $203.90 / $408.88