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Anesthesia For Diagnostic Shoulder Scope

Vermont 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 October 2026.

How much rates vary

Professionalmedian $68 · 10th to 90th $45 to $324
$50$100$200professional $68

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
None
Typical Low
$31.62
Median
$47.86
Typical High
$371.54
BCBS Vermont
Setting
Professional
Modifier
None
Typical Low
$251.19
Median
$251.19
Typical High
$281.84
Cigna
Setting
Professional
Modifier
None
Typical Low
$181.97
Median
$239.88
Typical High
$323.59
MVP Health Care
Setting
Professional
Modifier
None
Typical Low
$223.87
Median
$223.87
Typical High
$426.58
United
Setting
Professional
Modifier
None
Typical Low
$46.77
Median
$50.12
Typical High
$97.72