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Maine rates for HCPCS 23350

Injection Shoulder Arthrography/ Ct/Mri Arthg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$156.77 / $616.35 / $665.57
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.89 / $127.74 / $200.49
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.53 / $71.84 / $107.31
Anthem BCBS
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$89.29 / $107.77 / $160.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.14 / $155.06 / $370.42
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.01 / $185.65 / $345.32
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.95 / $510.58 / $986.99
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.78 / $132.40 / $278.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$156.99 / $203.78 / $392.03