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Wisconsin rates for HCPCS 0350T

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

Facilitymedian $41 · 10th–90th $21–$2290%20%40%10th90th$41Professionalmedian $155 · 10th–90th $31–$4470%10%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. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$20.89 / $20.89 / $199.53
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$20.89 / $151.36 / $190.55
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$128.82 / $204.17 / $707.95
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$208.93 / $208.93 / $575.44
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19.95 / $38.02 / $194.98
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$21.38 / $72.44 / $223.87
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$169.82 / $309.03 / $891.25
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$50.12 / $50.12 / $70.79
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$54.95 / $97.72 / $316.23
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$194.98 / $1,000.00 / $1,000.00
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$144.54 / $575.44 / $1,000.00
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$67.61 / $104.71 / $302.00
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$40.74 / $295.12 / $676.08