| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $15,154.57 | $15,154.57 | $15,154.57 | |
BCBS
| Facility | $64,999.99 | $81,499.99 | $94,999.99 | |
Providence
| Professional | $1,800,000.00 | $2,250,000.00 | $2,400,000.00 |
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 | |
BCBS
| Facility | $64,999.99 | $81,499.99 | $94,999.99 | |
Providence
| Professional | $1,800,000.00 | $2,250,000.00 | $2,400,000.00 |