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West Virginia 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
$144.06 / $144.06 / $288.12
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.06 / $175.90 / $175.90
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$111.38 / $493.11 / $1,044.23
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$119,998.80 / $119,998.80 / $119,998.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.40 / $181.60 / $323.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$160.60 / $160.60 / $160.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.56 / $142.61 / $278.70