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Utah 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
$152.03 / $152.03 / $152.03
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$152.03 / $152.03 / $152.03
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$92.43 / $113.03 / $357.81
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.00 / $45.00 / $60.00
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$133.81 / $172.29 / $251.08
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.51 / $201.13 / $232.33
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.01 / $168.54 / $280.20