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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)

Facilitymedian $66 · 10th–90th $20–$2450%10%10th90th$66Professionalmedian $145 · 10th–90th $21–$1910%10%20%10th90th$145$20.0$50.0$100.0$200.0$500.0$1.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19.95 / $39.81 / $208.93
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$20.89 / $120.23 / $190.55
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$112.20 / $125.89 / $151.36
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$158.49 / $251.19 / $457.09
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28.84 / $28.84 / $28.84
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$100.00 / $199.53 / $346.74
Hally Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$100.00 / $100.00 / $100.00
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$74.13 / $74.13 / $208.93
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$151.36 / $204.17 / $295.12