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Utah 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
$3,038.00 / $5,743.00 / $9,403.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,616.00 / $2,843.00 / $8,194.00
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,088.36 / $24,954.24 / $36,365.48
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,028.00 / $9,753.00 / $15,824.00