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Maine rates for HCPCS 29823

Arthroscopy, shoulder, surgical; debridement, extensive, 3 or more 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
$688.60 / $2,159.76 / $9,609.70
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$541.22 / $656.35 / $955.87
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$622.65 / $805.79 / $1,147.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$613.42 / $918.15 / $1,284.67
Community Health Options
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,368.93 / $3,368.93 / $3,368.93
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$748.97 / $866.56 / $1,329.35
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.90 / $2,535.03 / $10,368.44
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$576.57 / $792.63 / $962.65
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$595.34 / $849.47 / $1,195.28