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Anesthesia For Diagnostic Shoulder Scope

Texas 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 $52 · 10th–90th $52$520%50%$52$50.0

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
Lucent Health
Setting
Facility
Modifier
QK · Directing 2–4 cases
Typical Low
$52.48
Median
$52.48
Typical High
$52.48
Lucent Health
Setting
Facility
Modifier
QX · CRNA, directed
Typical Low
$52.48
Median
$52.48
Typical High
$52.48
Providence
Setting
Facility
Modifier
QK · Directing 2–4 cases
Typical Low
$30.90
Median
$30.90
Typical High
$30.90
Providence
Setting
Facility
Modifier
QX · CRNA, directed
Typical Low
$30.90
Median
$30.90
Typical High
$30.90