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Pennsylvania 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
$143.87 / $173.71 / $553.48
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.54 / $143.87 / $182.18
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$87.14 / $193.83 / $260.37
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.98 / $27.98 / $160.60
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.19 / $52.19 / $52.19
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$119.80 / $188.47 / $553.48
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.23 / $144.06 / $242.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$178.65 / $178.65 / $193.38
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$84.71 / $193.83 / $260.37
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.98 / $27.98 / $160.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.49 / $178.54 / $302.54