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Louisiana 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
$147.22 / $216.78 / $633.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.28 / $147.22 / $167.83
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$86.67 / $159.47 / $297.19
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$145.79 / $245.99 / $294.94
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$122.45 / $171.71 / $267.87