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Idaho 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
$4,500.00 / $15,154.60 / $15,154.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15,154.60 / $15,154.60 / $15,154.60
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,154.57 / $15,154.57 / $15,154.57
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15,682.38 / $15,682.38 / $17,104.52
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,026.67 / $29,593.98 / $43,515.35
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8,503.21 / $8,503.21 / $10,203.87
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,600.00 / $11,800.00 / $29,092.00