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Pennsylvania 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
$749.00 / $4,136.07 / $9,256.00
Aetna
Facility/Professional
Facility
Modifier
22
Low / Median / High Price
$5,679.71 / $5,679.71 / $5,850.36
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$270.61 / $618.04 / $1,468.23
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$423.39 / $423.39 / $713.70
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,393.00 / $11,479.00 / $18,724.00
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$597.38 / $859.92 / $1,148.91
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$675.90 / $675.90 / $675.90
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$67.26 / $67.26 / $67.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.96 / $749.31 / $1,215.69
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$706.99 / $956.03 / $1,221.17
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,876.50 / $4,746.97 / $11,315.28
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$710.42 / $781.47 / $889.70
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$749.00 / $4,844.45 / $10,409.79
Martin's Point
Facility/Professional
Facility
Modifier
22
Low / Median / High Price
$5,679.71 / $5,679.71 / $5,850.36
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$296.93 / $695.39 / $1,835.60
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$834.50 / $856.31 / $1,244.59
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$675.90 / $675.90 / $675.90
Priority Health
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$67.26 / $67.26 / $67.26
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.96 / $761.53 / $1,262.98
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$582.02 / $582.02 / $826.26
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$564.72 / $584.26 / $826.26
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,468.00 / $4,563.00 / $9,631.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$585.92 / $759.69 / $1,273.69