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Arizona 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
$304.32 / $2,222.50 / $6,864.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.03 / $135.53 / $263.62
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.31 / $139.80 / $776.40
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$76.86 / $303.04 / $502.88
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.29 / $128.16 / $209.73
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$84.79 / $84.79 / $84.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.17 / $135.68 / $290.67
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$49.21 / $150.44 / $367.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$137.36 / $212.09 / $1,786.65
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$716.00 / $1,535.00 / $2,175.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.22 / $161.19 / $334.39