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California 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
$4,002.00 / $9,690.00 / $20,135.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,646.00 / $15,154.57 / $15,154.57
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,208.00 / $9,905.00 / $19,252.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$298.00 / $317.00 / $330.00
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$92.60 / $10,933.73 / $42,646.08
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,277.00 / $2,277.00 / $2,277.00
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14,268.69 / $14,268.69 / $14,982.12
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$393.93 / $638.07 / $801.00
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $52,595.10
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.00 / $60.00 / $85.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,277.00 / $15,154.57 / $2,400,000.00
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,250,000.00 / $2,250,000.00 / $2,400,000.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,212.00 / $13,651.00 / $29,312.00