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Pennsylvania 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
$1,499.00 / $4,761.00 / $9,617.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15,154.57 / $15,154.57 / $15,154.57
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27,178.06 / $34,944.56 / $125,842.09
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,301.00 / $5,470.00 / $10,247.00
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,461.00 / $2,843.00 / $10,203.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,468.00 / $4,563.00 / $9,631.00