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 | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,973.33 | $4,207.04 | $9,135.00 | |
Cigna
| Facility | $9,135.00 | $9,135.00 | $9,135.00 | |
Regence BlueShield
| Facility | $4,684.92 | $6,137.22 | $8,943.69 | |
United
| Facility | $2,155.00 | $9,135.00 | $9,135.00 |