| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $137.76 | $146.03 | $202.15 | |
United
| Professional | $182.79 | $338.94 | $591.79 |
Radiologic examination, radiostereometric analysis (RSA); upper extremity(ies), (includes shoulder, elbow, and wrist, when performed)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $137.76 | $146.03 | $202.15 | |
United
| Professional | $182.79 | $338.94 | $591.79 |