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New York 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
$111.81 / $195.73 / $490.85
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$111.81 / $190.26 / $205.44
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.10 / $203.46 / $352.07
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$158.36 / $191.60 / $324.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.62 / $160.60 / $160.60
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.19 / $52.19 / $52.19
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.82 / $49.17 / $145.11
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$158.36 / $191.60 / $555.00
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.62 / $160.60 / $160.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.32 / $165.91 / $354.90
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.75 / $32.75 / $155.29
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.75 / $50.55 / $155.29