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Missouri 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
$2,507.00 / $5,560.00 / $9,823.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,507.00 / $4,125.00 / $8,000.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,300.00 / $4,981.00 / $15,154.57
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,209.00 / $4,432.00 / $12,989.00