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Massachusetts 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
$123.77 / $988.00 / $2,747.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.89 / $127.22 / $264.20
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$731.58 / $731.58 / $731.58
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$109.43 / $627.00 / $2,733.00
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.67 / $258.49 / $1,845.61
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.28 / $71.42 / $129.11
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.87 / $94.09 / $348.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.98 / $180.03 / $412.05
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$53.00 / $160.46 / $6,679.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$183.27 / $238.63 / $397.92
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.70 / $165.10 / $440.97
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$115.73 / $233.53 / $742.92
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.03 / $151.91 / $395.25
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$308.00 / $953.00 / $2,796.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$174.26 / $406.01 / $1,845.61
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$627.00 / $1,818.00 / $2,733.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$156.99 / $284.39 / $495.76