go back

Texas 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
$1,020.00 / $3,978.00 / $12,729.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,348.00 / $15,154.57 / $15,154.57
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,949.26 / $10,043.37 / $20,470.56
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,154.57 / $15,154.57 / $24,247.31
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,154.57 / $15,154.57 / $24,247.31
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,250,000.00 / $2,250,000.00 / $2,400,000.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,600.00 / $7,123.00 / $16,000.00