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Illinois 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
$20.07 / $64.26 / $206.85
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.07 / $31.94 / $158.44
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$105.55 / $125.93 / $162.46
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$110.47 / $240.19 / $734.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.98 / $27.98 / $27.98
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $150.00 / $345.40
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,500.00 / $2,500.00 / $2,500.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.16 / $195.94 / $315.75