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Ohio rates for HCPCS 0350T

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

Facilitymedian $87 · 10th–90th $32–$1950%20%40%10th90th$87Professionalmedian $138 · 10th–90th $31–$2000%20%10th90th$138$2.0$10.0$50.0$200.0$1.0K$5.0K$20.0K

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$32.36 / $83.18 / $95.50
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.90 / $112.20 / $190.55
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$138.04 / $165.96 / $251.19
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$31.62 / $478.63 / $41,686.94
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$41.69 / $537.03 / $933.25
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$223.87 / $302.00 / $478.63
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$87.10 / $87.10 / $295.12
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $50.12 / $60.26
SummaCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$107.15 / $107.15 / $107.15
SummaCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$60.26 / $60.26 / $60.26
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$66.07 / $72.44 / $208.93
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$38.90 / $169.82 / $245.47