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Utah 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
$173.78 / $173.78 / $173.78
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.11 / $173.78 / $218.78
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$112.20 / $151.36 / $436.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.71 / $46.77 / $51.29
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $44.67 / $60.26
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$181.97 / $213.80 / $457.09
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.67 / $100.00 / $269.15
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.90 / $40.74 / $47.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.81 / $194.98 / $316.23