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New Hampshire rates for HCPCS 0350T

Radiologic examination, radiostereometric analysis (RSA); lower extremity(ies), (includes hip, proximal femur, knee, and ankle, when performed)

Facilitymedian $525 · 10th–90th $331–$4,8980%20%10th90th$525Professionalmedian $120 · 10th–90th $38–$1950%10%10th90th$120$20.0$100.0$500.0$2.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.90 / $162.18 / $194.98
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$147.91 / $147.91 / $147.91
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$257.04 / $524.81 / $724.44
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$39.81 / $66.07 / $128.82
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$41.69 / $204.17 / $251.19
Well Sense
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,630.78 / $4,365.16 / $5,754.40