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Illinois rates for HCPCS 23350

Injection Shoulder Arthrography/ Ct/Mri Arthg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$114.77 / $1,051.38 / $5,040.33
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.48 / $127.74 / $262.50
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.99 / $64.51 / $152.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$300.35 / $642.48 / $1,286.56
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.88 / $160.85 / $301.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.34 / $146.44 / $301.89
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.75 / $236.94 / $624.41
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
$58.73 / $62.43 / $206.56
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $233.57
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$165.00 / $900.00 / $3,686.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$149.13 / $206.79 / $345.40