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Maine 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
Professional
Modifier
Low / Median / High Price
$161.71 / $161.71 / $167.64
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$149.08 / $149.08 / $169.10
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.46 / $49.13 / $92.17
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$161.71 / $161.71 / $167.64
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.14 / $221.22 / $291.52