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South Carolina 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
$8,912.51 / $12,022.64 / $21,877.62
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,019.95 / $15,135.61 / $15,135.61
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,819.70 / $6,456.54 / $20,892.96
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$891.25 / $891.25 / $891.25
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,595.87 / $22,908.68 / $25,703.96
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $30.20 / $30.20
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,677.35 / $20,417.38 / $25,703.96