| 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 Implantationof 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 |