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Idaho 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
$124.50 / $400.03 / $4,269.84
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$2,110.50 / $2,110.50 / $2,110.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.89 / $135.53 / $278.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.28 / $146.44 / $279.99
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$789.92 / $789.92 / $834.59
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$62.84 / $154.18 / $354.82
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.98 / $251.92 / $305.36
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $91.83 / $273.31
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.98 / $119.10 / $341.99
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,800.00 / $8,244.00 / $9,193.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$156.99 / $224.50 / $313.98