go back

New Hampshire 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
$100.00 / $100.00 / $15,774.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15,154.57 / $15,154.57 / $15,154.57
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,512.20 / $9,458.00 / $17,400.00
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22,800.63 / $36,359.90 / $51,859.24
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,399.00 / $12,399.00 / $12,399.00
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,500.00 / $2,750.00 / $3,500.00