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Michigan rates for HCPCS 0350T

Radiostereometric Analysis Lower Extremity Exam

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.54 / $45.56 / $101.53
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.94 / $32.54 / $119.80
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$57.76 / $57.76 / $57.76
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.76 / $82.33 / $91.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.10 / $30.10 / $30.10
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.54 / $76.88 / $157.31
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.54 / $157.31 / $183.12
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.09 / $168.03 / $230.10