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Wisconsin rates for HCPCS 0350T

Radiostereometric Analysis Lower Extremity Exam

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.50 / $21.50 / $200.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.50 / $31.76 / $34.96
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$150.41 / $222.40 / $836.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.61 / $208.61 / $579.39
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.07 / $38.11 / $195.73
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.50 / $40.67 / $225.13
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$168.54 / $324.41 / $877.31
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.00 / $50.00 / $70.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.07 / $38.11 / $161.71
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.62 / $100.30 / $319.66
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$296.60 / $296.60 / $296.60
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.15 / $579.39 / $1,006.55
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$115.07 / $308.17 / $701.33