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Wisconsin rates for HCPCS 23350

Injection procedure for shoulder arthrography or enhanced CT/MRI shoulder arthrography

Facilitymedian $537 · 10th–90th $129$1,6980%10%10th90th$537Professionalmedian $155 · 10th–90th $49$5750%5%10th90th$155$20.0$100.0$500.0$2.0K$10.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$288.40 / $537.03 / $1,380.38
Aetna
Facility/Professional
Facility
Modifier
50
Typical Low / Median / Typical High
$1,412.54 / $1,412.54 / $1,412.54
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$48.98 / $138.04 / $575.44
Aetna
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$125.89 / $354.81 / $575.44
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,202.26 / $1,584.89 / $1,584.89
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$63.10 / $123.03 / $288.40
Anthem BCBS
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$109.65 / $190.55 / $426.58
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$64.57 / $81.28 / $87.10
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$177.83 / $190.55 / $194.98
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$436.52 / $512.86 / $812.83
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$79.43 / $229.09 / $758.58
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$48.98 / $162.18 / $3,162.28
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$95.50 / $165.96 / $436.52
DeanCare
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$144.54 / $251.19 / $660.69
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$48.98 / $173.78 / $1,584.89
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$158.49 / $389.05 / $1,778.28
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $85.11
Network Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$100.00 / $891.25 / $2,344.23
Network Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$117.49 / $239.88 / $588.84
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$79.43 / $204.17 / $537.03
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$128.82 / $2,951.21 / $2,951.21
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$87.10 / $616.60 / $1,862.09
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$162.18 / $162.18 / $562.34
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$162.18 / $389.05 / $1,047.13
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,023.29 / $1,584.89 / $2,187.76
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$83.18 / $234.42 / $741.31