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Pennsylvania rates for HCPCS 29806

Arthroscopy, shoulder, surgical; capsulorrhaphy

Facilitymedian $7,762 · 10th–90th $1,585–$19,0550%5%10th90th$7,762$500.0$2.0K$10.0K$50.0K

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
$1,584.89 / $7,762.47 / $17,782.79
AmeriHealth
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,897.79 / $7,413.10 / $53,703.18
Capital Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8,511.38 / $10,000.00 / $57,543.99
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8,709.64 / $16,982.44 / $31,622.78
Independence Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,570.88 / $6,309.57 / $15,488.17
Martin's Point
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,000.00 / $3,981.07 / $19,054.61
Oscar Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,754.40 / $11,748.98 / $14,791.08
UPMC Health Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$478.63 / $1,000.00 / $1,071.52
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,019.95 / $6,606.93 / $23,442.29