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Louisiana 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
$72.17 / $900.00 / $3,685.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.41 / $111.57 / $263.62
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.35 / $46.35 / $112.76
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$193.96 / $378.38 / $839.54
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.06 / $96.21 / $249.10
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41.68 / $46.04 / $46.04
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$92.89 / $92.89 / $92.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.88 / $138.53 / $272.55
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$210.00 / $580.00 / $1,506.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$124.81 / $180.30 / $311.58