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North Carolina 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
$152.03 / $152.03 / $152.03
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$152.03 / $152.03 / $195.73
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$182.44 / $326.86 / $434.81
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$82.22 / $113.21 / $283.05
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$160.60 / $160.60 / $160.60
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$104.01 / $148.59 / $281.26
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$148.59 / $148.59 / $148.59
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.15 / $190.32 / $309.39
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.00 / $85.00 / $296.60
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,006.55 / $1,006.55 / $1,006.55