go back

Illinois 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
$147.91 / $1,122.02 / $5,128.61
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.98 / $138.04 / $407.38
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$125.89 / $398.11 / $575.44
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.90 / $53.70 / $151.36
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$239.88 / $645.65 / $1,230.27
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.54 / $162.18 / $302.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89.13 / $89.13 / $239.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.23 / $144.54 / $281.84
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.44 / $257.04 / $630.96
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.88 / $63.10 / $208.93
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $32.36 / $33.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$151.36 / $831.76 / $2,630.27
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.70 / $138.04 / $269.15