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New Mexico 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
$209.00 / $209.00 / $7,838.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.03 / $135.53 / $277.17
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$153.32 / $153.32 / $153.32
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56,799.99 / $68,899.99 / $81,099.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.74 / $117.98 / $223.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.73 / $163.82 / $264.67
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $222.11
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.93 / $124.12 / $232.03
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.39 / $163.82 / $357.62
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$230.00 / $1,158.00 / $1,401.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$156.99 / $219.60 / $333.06