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Missouri 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
$21.69 / $50.02 / $104.26
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.69 / $32.89 / $118.24
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$135.35 / $159.24 / $274.73
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$112.44 / $260.16 / $339.34
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.89 / $59.21 / $296.60
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.48 / $176.64 / $764.51
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.62 / $165.61 / $269.66