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Maryland 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
$158.61 / $158.61 / $158.61
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$119.80 / $175.90 / $182.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.02 / $31.02 / $33.79
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.79 / $41.88 / $79.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$105.47 / $160.22 / $240.89