| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $92.26 | $92.26 | $92.26 | |
Aetna
| Professional | $92.26 | $92.26 | $165.18 | |
Cigna
| Facility | $70.94 | $100.68 | $189.60 | |
United
| Professional | $126.27 | $169.11 | $275.69 |
Radiologic examination, radiostereometric analysis (RSA); lower extremity(ies), (includes hip, proximal femur, knee, and ankle, when performed)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $92.26 | $92.26 | $92.26 | |
Aetna
| Professional | $92.26 | $92.26 | $165.18 | |
Cigna
| Facility | $70.94 | $100.68 | $189.60 | |
United
| Professional | $126.27 | $169.11 | $275.69 |