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West Virginia 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
$313.02 / $986.06 / $1,378.04
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$2,150.96 / $2,150.96 / $2,150.96
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.32 / $106.87 / $178.88
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.25 / $66.81 / $77.95
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.69 / $319.01 / $330.06
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$84.79 / $84.79 / $84.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.56 / $152.08 / $349.41
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$471.77 / $682.10 / $1,187.49
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.63 / $83.81 / $128.56
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.87 / $203.50 / $324.29