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Arizona rates for HCPCS 0350T

Radiologic examination, radiostereometric analysis (RSA); lower extremity(ies), (includes hip, proximal femur, knee, and ankle, when performed)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$58.41 / $75.40 / $316.48
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.10 / $53.10 / $53.10
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.50 / $127.20 / $201.51
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $40.00 / $193.75
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$202.80 / $246.62 / $373.37
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.57 / $263.57 / $263.57
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.58 / $58.41 / $296.60
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$129.12 / $172.79 / $376.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.66 / $168.54 / $280.20