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South Carolina 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
$31.92 / $31.92 / $129.05
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.92 / $31.92 / $152.03
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.76 / $133.94 / $220.53
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$264.39 / $355.26 / $530.10
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.92 / $146.26 / $148.59
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.86 / $163.79 / $270.44