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Tennessee 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
$137.40 / $609.98 / $4,193.72
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.56 / $135.53 / $263.62
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$581.79 / $581.79 / $581.79
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.63 / $90.14 / $159.83
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$101.00 / $143.00 / $617.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.88 / $122.38 / $274.95
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$62.67 / $84.79 / $157.51
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.67 / $131.26 / $269.08
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $367.00 / $367.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$589.45 / $1,475.09 / $1,845.61
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$296.00 / $814.00 / $2,495.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.29 / $202.79 / $333.13