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Alaska rates for HCPCS 23350

Injection procedure for shoulder arthrography or enhanced CT/MRI shoulder arthrography

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$376.55 / $921.59 / $9,285.00
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$1,062.59 / $1,062.59 / $1,366.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.03 / $161.63 / $757.52
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$371.54 / $1,551.38 / $1,551.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.51 / $167.03 / $602.46
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$63.72 / $177.01 / $889.49
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.29 / $381.70 / $1,010.85
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$185.00 / $365.44 / $836.94
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$63.72 / $177.01 / $1,037.80
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.11 / $274.66 / $742.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$200.00 / $200.00 / $200.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$278.37 / $390.82 / $656.29