go back

Minnesota 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
$6,398.00 / $6,781.00 / $14,612.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15,154.57 / $15,154.57 / $15,154.57
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,536.55 / $30,258.69 / $53,224.17
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10,477.04 / $12,071.79 / $12,707.15
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,974.00 / $10,831.00 / $42,567.62
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,457.00 / $9,370.00 / $12,774.00