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Nebraska 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
$5,724.00 / $10,915.56 / $21,899.37
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,295.00 / $1,736.36 / $15,154.57
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,860.00 / $10,338.04 / $19,997.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,265.53 / $15,265.53 / $15,265.53
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $9,696.00 / $30,309.14
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,265.53 / $17,507.09 / $21,008.51
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,777.00 / $8,220.00 / $9,696.00