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Nebraska 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
$32.04 / $32.04 / $34.33
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.04 / $32.04 / $32.04
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$146.78 / $191.51 / $373.43
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$281.11 / $300.48 / $307.99
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.06 / $76.30 / $208.61
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.04 / $130.34 / $296.60
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.95 / $240.62 / $434.63
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.06 / $116.62 / $255.08
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.06 / $116.62 / $229.39
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.31 / $240.62 / $375.98