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Anesthesia For Diagnostic Shoulder Scope

Minnesota rates for HCPCS 01622

Anesthesia care provided while a scope is used to look inside the shoulder joint. The examination is diagnostic rather than a treatment. The charge covers the anesthesia care, not the shoulder procedure.

Rates data updated July 2026.

Facilitymedian $31 · 10th–90th $31$310%50%100%$31

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

Insurance Carrier
Cigna
Setting
Facility
Modifier
QK · Directing 2–4 cases
Typical Low
$30.90
Median
$30.90
Typical High
$30.90
Cigna
Setting
Facility
Modifier
QX · CRNA, directed
Typical Low
$30.90
Median
$30.90
Typical High
$30.90