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Utah rates for HCPCS 23350

Injection Shoulder Arthrography/ Ct/Mri Arthg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$262.33 / $1,227.83 / $4,225.50
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$2,903.91 / $5,262.00 / $6,188.06
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.49 / $119.25 / $339.30
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$143.56 / $143.56 / $143.56
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.90 / $167.48 / $281.35
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.85 / $142.94 / $185.53
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.52 / $140.22 / $295.43
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,078.00 / $1,556.00 / $4,495.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$140.44 / $183.74 / $277.33