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Indiana 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
$1,386.00 / $4,846.00 / $16,042.00
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
$2,705.10 / $16,700.00 / $33,821.32
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,058.00 / $12,330.00 / $17,416.00