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Pennsylvania rates for HCPCS 29822

Arthroscopy, shoulder, surgical; debridement, limited, 1 or 2 discrete structures (eg, humeral bone, humeral articular cartilage, glenoid bone, glenoid articular cartilage, biceps tendon, biceps anchor complex, labrum, articular capsule, articular side of the rotator cuff, bursal side of the rotator cuff, subacromial bursa, foreign body[ies])

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$657.00 / $4,061.90 / $10,915.00
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,150.00 / $7,463.00 / $11,091.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$619.72 / $619.72 / $619.72
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$61.52 / $61.52 / $61.52
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,762.98 / $6,673.82 / $14,985.07
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$655.00 / $4,264.00 / $10,915.00
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$619.72 / $619.72 / $619.72
Priority Health
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$61.52 / $61.52 / $61.52
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$531.02 / $531.02 / $728.81
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,155.00 / $3,475.00 / $6,368.00