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Arkansas 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
$73.56 / $414.90 / $2,500.00
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$1,239.00 / $1,239.00 / $1,239.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.89 / $135.53 / $238.26
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.24 / $80.27 / $83.83
Ambetter
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$81.37 / $81.37 / $81.37
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.11 / $78.09 / $224.96
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46.89 / $62.21 / $70.14
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.72 / $158.69 / $194.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.63 / $155.00 / $283.24
Qualchoice
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.15 / $88.40 / $96.40
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$130.00 / $337.00 / $768.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$136.58 / $207.54 / $328.25