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Montana rates for HCPCS 23350

Injection procedure for shoulder arthrography or enhanced CT/MRI shoulder arthrography

Facilitymedian $245 · 10th–90th $83$7410%10%20%10th90th$245Professionalmedian $141 · 10th–90th $48$3550%10%10th90th$141$10.0$50.0$200.0$1.0K$5.0K$20.0K$100.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$229.09 / $446.68 / $2,454.71
Aetna
Facility/Professional
Facility
Modifier
50
Typical Low / Median / Typical High
$1,479.11 / $1,479.11 / $1,479.11
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$47.86 / $134.90 / $346.74
Aetna
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$478.63 / $478.63 / $691.83
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$64,565.42 / $77,624.71 / $95,499.26
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$77.62 / $77.62 / $257.04
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$77.62 / $158.49 / $309.03
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$58.88 / $147.91 / $371.54
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$83.18 / $190.55 / $288.40
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$83.18 / $190.55 / $288.40
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$51.29 / $138.04 / $338.84
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$77.62 / $131.83 / $457.09
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$199.53 / $199.53 / $199.53
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$74.13 / $162.18 / $323.59