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Texas rates for HCPCS 0349T

Radiologic examination, radiostereometric analysis (RSA); upper extremity(ies), (includes shoulder, elbow, and wrist, when performed)

Facilitymedian $288 · 10th–90th $65–$1,2590%5%10%10th90th$288Professionalmedian $178 · 10th–90th $30–$2190%20%10th90th$178$20.0$50.0$100.0$200.0$500.0$1.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$194.98 / $537.03 / $1,445.44
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.20 / $177.83 / $204.17
Christus
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$79.43 / $79.43 / $79.43
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$162.18 / $371.54 / $467.74
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.70 / $33.11 / $60.26
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,148.15 / $1,148.15 / $1,148.15
Lucent Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,148.15 / $1,148.15 / $1,148.15
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$33.88 / $177.83 / $380.19
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.90 / $177.83 / $204.17
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.20 / $30.20 / $30.20
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$33.11 / $173.78 / $389.05
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.70 / $33.11 / $162.18
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$83.18 / $134.90 / $251.19
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$144.54 / $186.21 / $309.03
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.88 / $39.81