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New Jersey 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

Facilitymedian $8,511 · 10th–90th $4,571$13,4900%10%10th90th$8,511Professionalmedian $13,490 · 10th–90th $6,026$15,1360%20%40%10th90th$13,490$100.0$500.0$2.0K$10.0K$50.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,570.88 / $8,511.38 / $13,489.63
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6,025.60 / $13,489.63 / $15,135.61
Horizon BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$26,302.68 / $41,686.94 / $66,069.34
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,570.88 / $9,772.37 / $19,952.62