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Indiana 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
$23.14 / $185.87 / $260.01
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.07 / $23.14 / $145.66
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$126.71 / $149.08 / $166.96
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.24 / $498.58 / $747.87
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$88.05 / $198.67 / $320.04
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$143.26 / $162.44 / $286.52