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Iowa 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
$4,693.00 / $5,549.00 / $7,943.37
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,390.00 / $5,390.00 / $5,390.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$150.00 / $14,241.83 / $14,241.83
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,689.00 / $16,506.68 / $33,044.01
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,265.53 / $17,378.74 / $21,008.51
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,220.00 / $9,259.00 / $14,242.22