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Arizona 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
$1,965.00 / $4,521.00 / $7,963.00
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
$1,280.95 / $4,822.39 / $7,887.64
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,174.68 / $1,342.49 / $1,678.11
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,584.00 / $15,154.57 / $21,671.04
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,255.00 / $7,205.00 / $11,396.00