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Texas rates for HCPCS 0350T

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

Facilitymedian $331 · 10th–90th $145–$1,1750%10%10th90th$331Professionalmedian $155 · 10th–90th $31–$1780%20%10th90th$155$20.0$50.0$100.0$200.0$500.0$1.0K

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
$165.96 / $467.74 / $1,258.93
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28.84 / $154.88 / $165.96
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$100.00 / $281.84 / $398.11
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.20 / $33.88 / $57.54
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,000.00 / $1,000.00 / $1,000.00
Lucent Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,000.00 / $1,000.00 / $1,000.00
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$45.71 / $223.87 / $616.60
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $154.88 / $165.96
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.20 / $30.20 / $30.20
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$46.77 / $213.80 / $446.68
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.20 / $33.11 / $53.70
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$69.18 / $81.28 / $186.21
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$134.90 / $162.18 / $251.19
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$34.67 / $34.67 / $34.67