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South Dakota 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
$4,338.00 / $4,338.00 / $4,937.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15,154.57 / $15,154.57 / $15,154.57
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21,671.04 / $25,611.22 / $41,523.51
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17,378.74 / $17,809.79 / $24,526.62
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,357.00 / $5,357.00 / $5,357.00