| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $15,154.57 | $15,154.57 | $15,154.57 | |
Harvard Pilgrim
| Professional | $95,890.34 | $95,890.34 | $95,890.34 |
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 | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $15,154.57 | $15,154.57 | $15,154.57 | |
Harvard Pilgrim
| Professional | $95,890.34 | $95,890.34 | $95,890.34 |