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South Dakota rates for HCPCS C9781

Arthroscopy Shoulder Surgical; With Implantationof 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