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North Dakota 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
$155.32 / $638.00 / $837.31
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.08 / $145.43 / $453.90
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$298.35 / $298.35 / $298.35
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.31 / $232.22 / $400.32
BCBS
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$145.97 / $450.35 / $600.48
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$84.79 / $84.79 / $84.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.87 / $159.41 / $411.43
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$62.10 / $152.78 / $289.27
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$152.86 / $316.99 / $1,786.65
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.46 / $269.60 / $407.45