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Oklahoma 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
$167.50 / $1,377.00 / $6,245.00
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$582.00 / $582.00 / $582.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.89 / $103.88 / $174.21
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.63 / $43.63 / $81.37
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.00 / $124.59 / $212.43
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$164.62 / $164.62 / $226.61
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.73 / $150.38 / $221.88
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.81 / $174.22 / $871.04
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$133.44 / $196.24 / $1,786.65
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$139.00 / $610.00 / $1,883.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$130.30 / $172.69 / $271.61