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New York 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
$2,408.00 / $5,845.00 / $11,880.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,695.00 / $15,154.57 / $15,154.57
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,749.00 / $9,877.00 / $16,490.00
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,159.17 / $2,159.17 / $6,963.66
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$555.00 / $597.00 / $74,999.25
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,341.00 / $6,700.00 / $16,782.00