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South Carolina rates for HCPCS 23350

Injection Shoulder Arthrography/ Ct/Mri Arthg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$186.25 / $572.00 / $6,749.31
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.89 / $130.90 / $328.25
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.63 / $58.10 / $152.54
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$105.47 / $120.55 / $207.69
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.52 / $88.74 / $195.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.11 / $159.80 / $326.12
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$57.77 / $186.26 / $395.86
Medcost
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$134.31 / $403.50 / $775.50
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$607.09 / $607.09 / $607.09
Medcost
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$910.63 / $910.63 / $910.63
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$129.44 / $175.91 / $265.23
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$358.00 / $1,221.00 / $3,585.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$137.19 / $199.87 / $345.41