Not the answer your looking for, but I have a similar issue using that rutx50 with four omni 493s. (4x4) onboard a ship using telstra network.
Signal strength is excellent
Problem seems to be signal to noise is too degraded.
I find when signal strength is between 65/75 then modem works well if it gets better than that, signal to noise degrades for some reason to the point through put is terrible.
I also have the issue that the modem connects to the strongest signal instead of an algorithm connecting to the tower with best throughput (via CA) or best signal to noise ratio, it would be great if an alternative option was to connect to different towers based of signal to noise feedback rather than signal strength.
Usually low capacity LTE small cells only support one band and it's usually a lower frequency band such as B28, as this is a lower frequency it will likely be the tower with best signal strength especially in a remote location hence you could try disable band28 lte (or whatever you use in your location as a low band frequency) and then see if the modem connects to a higher capacity cell, utilising CA, even if the signal strength is weaker you will likely have better throughput