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Indiana rates for HCPCS 23350

Injection Shoulder Arthrography/ Ct/Mri Arthg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$82.00 / $580.33 / $2,075.61
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$511.30 / $511.30 / $511.30
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.48 / $105.44 / $208.79
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.04 / $67.88 / $152.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$116.75 / $116.75 / $225.33
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.44 / $116.75 / $175.12
Anthem BCBS
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$74.16 / $175.12 / $262.68
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.25 / $58.83 / $91.64
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.88 / $170.26 / $212.82
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$84.79 / $84.79 / $84.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.51 / $162.54 / $347.65
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$933.00 / $2,174.00 / $4,426.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$133.19 / $172.69 / $307.62