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New York 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
$64.09 / $2,518.00 / $9,136.02
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.89 / $130.90 / $278.60
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$17.57 / $17.57 / $17.57
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.56 / $71.01 / $147.19
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,691.00 / $3,366.00 / $4,707.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.55 / $120.40 / $357.79
Anthem BCBS
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$146.59 / $180.12 / $499.90
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$71.04 / $71.04 / $4,050.00
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.04 / $71.04 / $234.81
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$84.79 / $84.79 / $14,648.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.55 / $175.86 / $440.00
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$57.93 / $84.88 / $332.00
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$163.03 / $220.99 / $316.47
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.06 / $196.88 / $339.99
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$121.92 / $159.35 / $1,295.20
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.17 / $221.76 / $224.67
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$84.79 / $84.79 / $597.00
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.33 / $188.38 / $501.86
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,079.00 / $2,884.00 / $4,840.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.13 / $199.28 / $422.53
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$59.27 / $59.27 / $250.37
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.06 / $192.73 / $339.99