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Nationwide rates for HCPCS C9781

Arthroscopy, shoulder, surgical; with implantation of subacromial spacer (e.g., balloon), includes debridement (e.g., limited or extensive), subacromial decompression, acromioplasty, and biceps tenodesis when performed

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,593.50 / $5,794.00 / $10,401.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15,154.57 / $15,154.57 / $15,154.57
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,093.00 / $9,905.00 / $17,400.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10,580.44 / $10,589.94 / $10,596.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$778.48 / $842.50 / $856.74
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,028.00 / $7,457.00 / $14,139.00