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West Virginia 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
$165.65 / $165.65 / $331.30
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.61 / $202.27 / $202.27
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$108.11 / $478.60 / $1,013.52
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$119,998.80 / $119,998.80 / $119,998.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.28 / $37.28 / $298.05
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$155.93 / $155.93 / $155.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.24 / $194.21 / $388.32