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Nebraska 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
$307.99 / $3,259.25 / $11,995.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.56 / $140.75 / $539.00
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.27 / $82.51 / $187.14
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$330.78 / $448.29 / $841.55
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.53 / $110.33 / $306.01
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$96.24 / $224.87 / $403.48
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$69.84 / $266.74 / $631.14
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$187.12 / $309.47 / $1,786.65
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$120.40 / $301.45 / $403.48
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.71 / $258.27 / $407.85
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.18 / $100.35 / $316.60
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,031.00 / $1,775.00 / $4,406.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$187.12 / $319.55 / $390.18